South Bay Medical Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTH BAY MEDICAL CENTER, INC.

Practice address

16421 Greenwood LN
Monte Sereno, CA 95030-3065

Phone

(408) 384-9717

NPI assigned

Mar 21, 2020

Organization subpart

No

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

Authorized official

Name

Ali Moayed

Title

Facility Administrator

Phone

(408) 515-4699

Specialties & licenses 1

Addresses

Other names 1

• LOS GATOS DRUG AND ALCOHOL RECOVERY CENTER Doing business as

Tax ID family

Los Gatos Drug and Alcohol Recovery Center2 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.

• South Bay Medical Center, Inc.

  • Urgent Care Clinic/Center
  • Los Gatos, CA
  • NPI 1487288437
  NPD tax ID

Practitioners 1

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

• Farzaneh Tabrizi, MD

  • Family Medicine Physician
  • Los Gatos, CA
  • NPI 1194826909
  NPD

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584748800000",
    "number": "1629604657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322563",
            "telephone_number": "408-515-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 GREENWOOD LN",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950303065",
            "telephone_number": "408-384-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A",
        "authorized_official_last_name": "MOAYED",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "408-515-4699"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS GATOS DRUG AND ALCOHOL RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portico Life, Inc.
• Pros in Rehab
• Jyoti Saboo, MS, PT
• Marcie Lynn Sapir, O.T.
• Sharon Siegel, MD JD
• Steven J. Stein
• Steven F. Kanter, M.D., Inc.
• Kambuzia Kam Tabari, MD
• Felicia Tang
• Lingchuan Yao

• Substance Abuse Rehabilitation Facility in Monte Sereno, CA
• Providers in Monte Sereno, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.