Los Gatos Oral & Facial Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

LOS GATOS ORAL & FACIAL SURGERY

Practice address

14830 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2053

Phone

(408) 412-8400

Fax

(408) 412-5500

NPI assigned

Aug 22, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Walker, MD DDSNPI 1780784512

Title

President

Phone

(408) 412-8400

Specialties & licenses 2

Addresses

Electronic endpoints 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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.

• Lee R. Walker, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Gatos, CA
  • NPI 1780784512
  NPD Authorized official
• Scott Morgan, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Gatos, CA
  • NPI 1922495886
  NPD
• Nivek Amin, MD

  • Anesthesiology Physician
  • Fremont, CA
  • NPI 1518288125
  NPD (past)
• Albert Hyukjae Kwon, MD

  • Pain Medicine Physician
  • Stanford, CA
  • NPI 1942542923
  NPD (past)
• Brian Lee, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cupertino, CA
  • NPI 1831586445
  NPD (past)
• Chul-Kyun Park, M.D.

  • Anesthesiology Physician
  • Stanford, CA
  • NPI 1033426564
  NPD (past)
• Daniel Joseph Ridley, MD

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1114487428
  NPD (past)
• Christopher Sirivoranankul, MD

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1891299863
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1558080838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-412-8400",
            "fax_number": "408-412-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-412-8400",
            "fax_number": "408-412-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS GATOS ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-412-8400",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lee.walker@lgofs.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14830 Los Gatos Blvd Ste 200",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lee.walker@lgofs.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14830 Los Gatos Blvd Ste 200",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lee.walker@lgofs.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14830 Los Gatos Blvd Ste 200",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Los Gatos Hand Therapy, LLC
• Los Gatos Medical Center
• Los Gatos Medical Center ASC
• Los Gatos Medical Center Inc
• Los Gatos Medical Center Inc
• Los Gatos Orthopedic Sports Therapy, Inc.
• Los Gatos Podiatry Group, Inc.
• Los Gatos Premier Medicine PC
• Los Gatos Radiation Oncology Medical Associates
• Los Gatos Radiology

• Oral & Maxillofacial Surgery (D.M.D.) in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.