Organization Active NPI

G2 Anesthesia PC

  • Anesthesiology Physician
  • Los Gatos, CA
National Provider Identifier
1487214698
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
G2 ANESTHESIA PC
Practice address
15466 Los Gatos Blvd Ste 109-297
Los Gatos, CA 95032-2542
Phone
(408) 354-2114
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Henry Kamali, MDNPI 1831114842
Title
Authorized Representative
Phone
(408) 438-0424

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
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

15466 Los Gatos Blvd Ste 109-297
Los Gatos, CA 95032-2542

Mailing address

15466 Los Gatos Blvd Ste 109-297
Los Gatos, CA 95032-2542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001001034 CA Part B Supplier - Clinic/Group Practice 3375873599 Receives reassigned benefits from 136 practitioners
Practice locations: San Jose, CA; Walnut Creek, CA; San Francisco, CA; Menlo Park, CA; Los Gatos, CA; Campbell, CA

National Provider Directory

National Provider Directory

Locations

901 Campus Dr
Ste 120
Daly City, CA 94015

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 456-4600

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

718 University Ave
Ste 211
Los Gatos, CA 95032
Phone (408) 354-2114

15466 Los Gatos Blvd
Ste 109297
Los Gatos, CA 95032
Phone (408) 354-2114

2400 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-9300

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

460 N Wiget Ln
Ste C
Walnut Creek, CA 94598
Phone (925) 378-4949

2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320

Practitioners & affiliated clinicians

Practitioners 149

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 149

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1487214698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-297",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD STE 109-297",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-354-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G2 ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "KAMALI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "408-438-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.