Active NPI
Sports & Occupation Medical Associates
- Specialist
- Los Gatos, CA
National Provider Identifier
1811033368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G60236
- Legal business name
- SPORTS & OCCUPATION MEDICAL ASSOCIATES
- Practice address
- 555 Knowles Dr
207
Los Gatos, CA 95032-1549 - Phone
- (408) 374-1110
- Fax
- (408) 374-1133
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Ann Dean
- Title
- Manager
- Phone
- (408) 374-1110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G69134 | CA | |
| Specialist | 174400000X | G60236 | CA | Primary |
Addresses
Primary practice location
555 Knowles Dr
207
Los Gatos, CA 95032-1549
Mailing address
555 Knowles Dr
207
Los Gatos, CA 95032-1549
Phone (408) 374-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
320 Dardanelli Ln
#27B
Los Gatos, CA 95032
Phone (408) 374-1110
555 Knowles Dr
Ste 207
Los Gatos, CA 95032
Phone (408) 374-1110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Los Gatos, CA
- NPI 1225193121
-
- Specialist
- Los Gatos, CA
- NPI 1912062829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1811033368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 KNOWLES DR",
"address_2": "207",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321549",
"telephone_number": "408-374-1110",
"fax_number": "408-374-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 KNOWLES DR",
"address_2": "207",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321549",
"telephone_number": "408-374-1110",
"fax_number": "408-374-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS & OCCUPATION MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "408-374-1110",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G69134",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G60236",
"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 May 20, 2010; 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.