Active NPI
Gazebo Medical Corporation, P.C.
- Internal Medicine Physician
- Portola Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GAZEBO MEDICAL CORPORATION, P.C.
- Practice address
- 142 Crescent Ave
Portola Valley, CA 94028-7821 - Phone
- (650) 714-2411
- NPI assigned
- Jun 11, 2021
- Last updated
- May 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Lance Downing, MD
- Title
- Chief Medical Officer
- Phone
- (650) 260-5631
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
142 Crescent Ave
Portola Valley, CA 94028-7821
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-6000
National Provider Directory
National Provider Directory- Tax ID family
- Gazebo Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Stanford, CA
- NPI 1306425475
Locations
5025 Collwood Blvd
San Diego, CA 92115
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Stanford, CA
- NPI 1043502941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1477121903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 CRESCENT AVE",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287821",
"telephone_number": "650-714-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAZEBO MEDICAL CORPORATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "DOWNING",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "LANCE",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "650-260-5631",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.