Active NPI
Michael E Kan MD
- Family Medicine Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53368
- Legal business name
- MICHAEL E KAN MD
- Practice address
- 360 Dardanelli LN Ste 1G
Los Gatos, CA 95032-1421 - Phone
- (408) 378-2900
- Fax
- (408) 378-2039
- NPI assigned
- Nov 10, 2010
- Last updated
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Edmond Kan
- Title
- President
- Phone
- (408) 378-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G53368 | CA | Primary |
Addresses
Primary practice location
360 Dardanelli LN Ste 1G
Los Gatos, CA 95032-1421
Mailing address
360 Dardanelli LN Ste 1G
Los Gatos, CA 95032-1421
Phone (408) 378-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Michael E Kan Family Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physician Assistant
- Los Gatos, CA
- NPI 1063706422
Locations
320 Dardanelli Ln
Ste 22
Los Gatos, CA 95032
Phone (408) 374-3950
360 Dardanelli Ln
Ste 1G
Los Gatos, CA 95032
Phone (408) 378-2900
1390 S Winchester Blvd
Ste F1
San Jose, CA 95128
Phone (408) 378-2900
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Specialist
- Los Gatos, CA
- NPI 1558414623
-
- Surgical Oncology Physician
- Duarte, CA
- NPI 1457814808
-
- Surgery Physician
- Mountain View, CA
- NPI 1518429893
-
- Surgery Physician
- Larkspur, CA
- NPI 1417169954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1689975435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 DARDANELLI LN STE 1G",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321421",
"telephone_number": "408-378-2900",
"fax_number": "408-378-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 DARDANELLI LN STE 1G",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321421",
"telephone_number": "408-378-2900",
"fax_number": "408-378-2039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E KAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "KAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EDMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-378-2900",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53368",
"primary": true
}
],
"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 Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.