Organization Active NPI

Donald J. Conlon, M.D Professional Corp.

  • Internal Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1699076869
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C186470 Issued in CA
Legal business name
DONALD J. CONLON, M.D PROFESSIONAL CORP.
Practice address
340 Dardanelli LN
Suite 13
Los Gatos, CA 95032-1418
Phone
(408) 370-7200
Fax
(408) 370-0935
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Donald J Conlon, MD
Title
President
Phone
(408) 370-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C186470 CA Primary

Addresses

Primary practice location

340 Dardanelli LN
Suite 13
Los Gatos, CA 95032-1418

Mailing address

340 Dardanelli LN
Suite 13
Los Gatos, CA 95032-1418
Phone (408) 370-7200

National Provider Directory

National Provider Directory

Locations

340 Dardanelli Ln
Ste 13
Los Gatos, CA 95032
Phone (408) 370-7200

340 Dardanelli Ln
#13
Los Gatos, CA 95032
Phone (408) 370-7200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1699076869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN",
            "address_2": "SUITE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-370-7200",
            "fax_number": "408-370-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN",
            "address_2": "SUITE 13",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-370-7200",
            "fax_number": "408-370-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. CONLON, M.D PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-370-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C186470",
            "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 Apr 6, 2011; 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.