Individual provider Active NPI

Sandeep Gidvani, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Los Gatos, CA
National Provider Identifier
1801002134
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A120186 Issued in CA
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

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
FY744AOtherCAMEDICARE GROUP PTAN
6740500001OtherCAGROUP MEDICARE PTAN
1801002134MedicaidCA
A120186OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000345 CA Practitioner - Orthopedic Surgery 3072778661 Reassigns benefits to 3 organizations

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
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

340 Dardanelli LN
Suite 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100

Hospital & facility affiliations

  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
  • The Terraces of Los Gatos Nursing home, Los Gatos, CA, CCN 555547

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion388
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

LicenseStateTypeSpecialty
A120186CAMDOrthopaedic Surgery Physician

Practice roles (16 of 17)

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Aug 5, 2019 Accepting new patients
Orthonorcal Inc Orthopaedic Surgery CurrentSince Mar 30, 2015 Accepting new patients
Orthonorcal, Inc. Orthopaedic Surgery CurrentSince Mar 30, 2015 Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery Current Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 1, 2022 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

  • Direct secure messaging: sgidvani77532@direct.whhs.com
  • Direct secure messaging: sandeep.gidvani.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: sandeep.gidvani.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.