East Side Surgical LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

EAST SIDE SURGICAL LLC

Practice address

815 Pollard Rd
Los Gatos, CA 95032-1438

Phone

(408) 378-6131

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Christiane M Le-Mahon, PA-CNPI 1811296635

Title

Physician Assistant

Phone

(408) 202-5064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christiane Maithy Le-Mahon, PA-C

  • Physician Assistant
  • San Jose, CA
  • NPI 1811296635
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1881290104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3474 NOBLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951323132",
            "telephone_number": "408-857-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-01-18",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "LE-MAHON",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "408-202-5064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Dyer, DDS
• Dynosense Corp.
• Kimberly Eabry, MPH, NBC-HWC
• Ear Nose & Throat Clinic of Los Gatos
• Chelcie Elizabeth Earl
• Peter Ebiner, PT, DPT, OCS, CSCS
• Victoria Eby, DO
• Catherine C Eckel, PH.D.
• Neha J Eden, MD
• Rachel Ann Edquilang

• Surgical Physician Assistant in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.

Verify at the official NPI Registry.