Organization Active NPI

Northern California Kidney Stone Center

  • Durable Medical Equipment & Medical Supplies
  • Los Gatos, CA
National Provider Identifier
1659547461
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHERN CALIFORNIA KIDNEY STONE CENTER
Practice address
16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547
Phone
(408) 358-2805
Fax
(408) 358-2810
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Farzaneh Tabrizi, MD
Title
Director
Phone
(408) 358-2805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547

Mailing address

16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547
Phone (408) 358-2805

National Provider Directory

National Provider Directory
Tax ID family
Northern California Kidney Stone 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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1659547461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-358-2805",
            "fax_number": "408-358-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-358-2805",
            "fax_number": "408-358-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA KIDNEY STONE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TABRIZI",
        "authorized_official_first_name": "FARZANEH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-358-2805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 1, 2008; 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.