Organization Active NPI

Gazebo Medical Corporation, P.C.

  • Internal Medicine Physician
  • Portola Valley, CA
National Provider Identifier
1477121903
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norman Lance Downing, MDNPI 1043502941
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)CodeLicenseStatePrimary
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 Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.