NPIMap

Organization Active NPI

Center for Gynecologic Oncology and Pelvic Surgery

  • Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1780694653
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G45093, G83323 Issued in CA
Legal business name
CENTER FOR GYNECOLOGIC ONCOLOGY AND PELVIC SURGERY
Practice address
815 Pollard Rd
Attn: Cgops
Los Gatos, CA 95032-1438
Phone
(408) 378-6545
Fax
(408) 378-6550
NPI assigned
Aug 9, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Ming-Teh Dwight Chen, M.D.
Title
Administrative Partner
Phone
(408) 378-6545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G45093, G83323 CA Primary
Gynecologic Oncology Physician 207VX0201X G64782, G21751 CA

Addresses

Primary practice location

815 Pollard Rd
Attn: Cgops
Los Gatos, CA 95032-1438

Mailing address

815 Pollard Rd
Attn: Cgops
Los Gatos, CA 95032-1438
Phone (408) 378-6545

Other identifiers 1

IdentifierTypeStateIssuer
GR0101630MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1780694653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "address_2": "ATTN: CGOPS",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6545",
            "fax_number": "408-378-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "address_2": "ATTN: CGOPS",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6545",
            "fax_number": "408-378-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR GYNECOLOGIC ONCOLOGY AND PELVIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MING-TEH",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "ADMINISTRATIVE PARTNER",
        "authorized_official_telephone_number": "408-378-6545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G45093, G83323",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "G64782, G21751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101630",
            "state": "CA"
        }
    ],
    "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 Sep 24, 2008; 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.