Individual provider Active NPI

Gary Michael Kawesch, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1497875025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G066681 Issued in CA
Practice address
606 Saratoga Ave
San Jose, CA 95129-2000
Phone
(408) 296-1010
Fax
(408) 296-4318
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G066681 CA Primary

Addresses

Primary practice location

606 Saratoga Ave
San Jose, CA 95129-2000

Mailing address

16721 Hicks Rd
Los Gatos, CA 95032-6605
Phone (408) 296-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G066681CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Craig S. Bindi M.D., Inc Ophthalmology Past Accepting new patients
Premierescan PC PastSince Dec 3, 2004 Accepting new patients
Samir B. Shah, MD, Inc. Ophthalmology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497875025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16721 HICKS RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950326605",
            "telephone_number": "408-296-1010",
            "fax_number": "408-296-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292000",
            "telephone_number": "408-296-1010",
            "fax_number": "408-296-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWESCH",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G066681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.