Organization Active NPI

Gary M. Kawesch M.D., Inc

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1720227515
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G066681 Issued in CA
Legal business name
GARY M. KAWESCH M.D., INC
Practice address
606 Saratoga Ave
Suite 10
San Jose, CA 95129-2000
Phone
(408) 296-1010
Fax
(408) 296-1018
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Gary M Kawesch, M.D.
Title
President
Phone
(408) 296-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G066681 CA Primary

Addresses

Primary practice location

606 Saratoga Ave
Suite 10
San Jose, CA 95129-2000

Mailing address

606 Saratoga Ave
Suite 10
San Jose, CA 95129-2000
Phone (408) 296-1010

Other names 1

  • Laser Eye Center Of Silicon Valley Doing business as

National Provider Directory

National Provider Directory

Locations

5790 Stoneridge Mall Rd
Pleasanton, CA 94588
Phone (408) 296-1010

Practitioners & affiliated clinicians

Practitioners 2

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": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1720227515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SARATOGA AVE",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292000",
            "telephone_number": "408-296-1010",
            "fax_number": "408-296-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SARATOGA AVE",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292000",
            "telephone_number": "408-296-1010",
            "fax_number": "408-296-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M. KAWESCH M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "KAWESCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-296-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G066681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Eye Center Of Silicon Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.