Active NPI
Sandeep Gidvani, M.D.
- Orthopaedic Surgery of the Spine Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- A120186
- Practice address
- 340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418 - Phone
- (408) 412-8100
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A120186 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A120186 | CA | Primary |
Addresses
Primary practice location
340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418
Mailing address
340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100
Other practice location 1
4140 Jade St Ste 100
Capitola, CA 95010-3940
Phone (831) 475-4024
Other practice location 2
15585 Monterey Rd Ste A
Morgan Hill, CA 95037-5460
Phone (408) 412-8100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FY744A | Other | CA | MEDICARE GROUP PTAN |
| 6740500001 | Other | CA | GROUP MEDICARE PTAN |
| 1801002134 | Medicaid | CA | |
| A120186 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 Dardanelli LN
Suite 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100
Hospital & facility affiliations
- Sequoia Home Health
- Good Samaritan Hospital
- El Camino Health
- Dominican Hospital
- The Terraces of Los Gatos
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 388 |
| Laminectomy or laminotomy (partial removal of spine bones) | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120186 | CA | MD | Orthopaedic Surgery Physician |
Practice roles (16 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Orthopaedic Surgery | Current | Accepting new patients |
| Doctors on Duty Medical Group, Inc | Current | Accepting new patients | |
| Orthonorcal Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthonorcal, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Orthopaedic Surgery | Current | Accepting new patients |
| Golden State Orthopedics & Spine | Orthopaedic Surgery | Current | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California | Orthopaedic Surgery | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Golden State Orthopedics & Spine | Orthopaedic Surgery | Past | Accepting new patients |
| O'Connor Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital of Suffern | Past | Accepting new patients |
Locations
3803 S Bascom Ave
Ste 102
Campbell, CA 95008
Phone (408) 412-8100
4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024
340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100
14911 National Ave
Ste 6
Los Gatos, CA 95032
Phone (408) 358-2757
3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
1505 Main St
Watsonville, CA 95076
Phone (831) 722-1444
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sgidvani77532@direct.whhs.com
- sandeep.gidvani.p1@direct.orthonorcal.nextgenshare.com
- sandeep.gidvani.p2@direct.muirortho.nextgenshare.com
- sgidvani125689@santaclaravalley.direct-ci.net
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Orthopaedic Surgery Physician
- Los Gatos, CA
- NPI 1124398235
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1093307746
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Capitola, CA
- NPI 1518412659
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1528179793
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
- Home Health Agency
- Milpitas, CA
- NPI 1679951859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1801002134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 DARDANELLI LN STE 10",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321418",
"telephone_number": "408-412-8100",
"fax_number": "408-412-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 DARDANELLI LN STE 10",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321418",
"telephone_number": "408-412-8100"
}
],
"practiceLocations": [
{
"address_1": "4140 Jade St Ste 100",
"address_purpose": "LOCATION",
"city": "Capitola",
"state": "CA",
"postal_code": "950103940",
"country_code": "US",
"telephone_number": "831-475-4024",
"fax_number": "831-475-4344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15585 Monterey Rd Ste A",
"address_purpose": "LOCATION",
"city": "Morgan Hill",
"state": "CA",
"postal_code": "950375460",
"country_code": "US",
"telephone_number": "408-412-8100",
"fax_number": "408-412-8499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIDVANI",
"first_name": "SANDEEP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A120186",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A120186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "FY744A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "6740500001",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801002134",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A120186",
"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 Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.