Organization Active NPI

Amruta Samarth MD, Inc

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
National Provider Identifier
1750915260
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AMRUTA SAMARTH MD, INC
Practice address
15891 Los Gatos Almaden Rd
Los Gatos, CA 95032-3742
Phone
(949) 378-4871
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Dr. Amruta Samarth, MDNPI 1679701155
Title
Ceo
Phone
(949) 378-4871

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032-3742

Mailing address

208 Calle Marguerita
Los Gatos, CA 95032-1244
Phone (949) 378-4871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413003159 CA Part B Supplier - Clinic/Group Practice 7012347131 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA; San Jose, CA; Campbell, CA

National Provider Directory

National Provider Directory

Locations

3425 S Bascom Ave
Ste 101
Campbell, CA 95008
Phone (408) 596-4213

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": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1750915260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CALLE MARGUERITA",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321244",
            "telephone_number": "949-378-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15891 LOS GATOS ALMADEN RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323742",
            "telephone_number": "949-378-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRUTA SAMARTH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "SAMARTH",
        "authorized_official_first_name": "AMRUTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-378-4871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Mar 1, 2020; 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.

Verify at the official NPI Registry.