SMB Medical Group Ca, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SMB MEDICAL GROUP CA, P.C.

Practice address

710 Lakeway Dr Ste 200
Sunnyvale, CA 94085-4052

Phone

(415) 835-4794

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Kavia Khosla, MD

Title

President

Phone

(415) 835-4794

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1770336596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAKEWAY DR STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAKEWAY DR STE 200",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854052",
            "telephone_number": "415-835-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMB MEDICAL GROUP CA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "KHOSLA",
        "authorized_official_first_name": "KAVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-835-4794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.