NPIMap

Organization Active NPI

El Camino Hospital

  • Rehabilitation Hospital Unit
  • Los Gatos, CA
National Provider Identifier
1679899256
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
070000660 Issued in CA
Legal business name
EL CAMINO HOSPITAL
Practice address
355 Dardanelli LN
Los Gatos, CA 95032
Phone
(408) 378-6131
NPI assigned
Apr 8, 2010
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EL CAMINO HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Robert A. Flores
Title
Dir - Net Revenue & Reimbursent
Phone
(650) 940-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 070000660 CA Primary

Addresses

Primary practice location

355 Dardanelli LN
Los Gatos, CA 95032

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100717000155 CA Part A Provider - Hospital 0042239238 Practice locations: Los Gatos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679899256. Details of each certification follow.

Hospital certification: CCN 05T308

Legal name
EL CAMINO HOSPITAL
Doing business as
EL CAMINO HEALTH
Organization structure
CorporationNon-profit
Incorporated
Nov 16, 1992 in CA
Enrollment address
815 Pollard Rd
Los Gatos, CA 95032-1438
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
El Camino Hosp of Los GatosCCN 05T308 · All quality measures
Ownership
Government
Certified
Jul 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
El Camino Hospital7 organizations share this tax ID, including this one
Part of
El Camino Hospital

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Woods Individual Corporate OfficerCeo Aug 30, 2017 100%
Bob Scott Rebitzer Individual Corporate DirectorBoard Director Jul 1, 2017
Carol a Somersille Individual Corporate Officer Dec 4, 2020
Ming Jack PO Individual Corporate DirectorBoard Director Jul 1, 2019
John Zoglin Individual Corporate DirectorBoard Director Jul 1, 2010
Don C Watters Individual Corporate DirectorBoard Director May 21, 2019
Robert Flores Individual W-2 Managing Employee Aug 29, 2022
Wayne Doiguchi Individual Corporate Director Oct 19, 2023
Lanhee Chen Individual Corporate DirectorBoard Director Jul 1, 2015
Julia Miller Individual Corporate DirectorBoard Director Dec 10, 2012
George Oscar Ting Individual Corporate DirectorBoard Director Dec 5, 2018
Carlos a Bohorquez Individual W-2 Managing EmployeeChief Financial Officer Sep 8, 2020
Peter C Fung Individual Corporate DirectorBoard Director Dec 5, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pathways Home Health and HospiceSunnyvale, CA, CCN 057190 Home health agency Operational/Managerial Control (50%) Apr 1, 1986
Commonspirit Health at HomeSunnyvale, CA, CCN 051580 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986
Commonspirit Health at HomeOakland, CA, CCN 051506 Hospice 5% Or Greater Direct Ownership Interest (50%) Apr 1, 1986

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1679899256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 DARDANELLI LN",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-378-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL CAMINO HOSPITAL",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIR - NET REVENUE & REIMBURSENT",
        "authorized_official_telephone_number": "650-940-7247"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CA",
            "license": "070000660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.