Active NPI
Pediatric Health Medical Group
- Pediatrics Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC HEALTH MEDICAL GROUP
- Practice address
- 14880 Los Gatos Blvd
Los Gatos, CA 95032-2011 - Phone
- (408) 371-7777
- NPI assigned
- Dec 4, 2019
- 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
- Dr. David K Trager, MD
- Title
- Partner
- Phone
- (408) 805-0026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
14880 Los Gatos Blvd
Los Gatos, CA 95032-2011
Mailing address
14880 Los Gatos Blvd
Los Gatos, CA 95032-2011
Phone (408) 371-7777
National Provider Directory
National Provider DirectoryLocations
14880 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 371-7777
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Los Gatos, CA
- NPI 1144287624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1891332359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14880 LOS GATOS BLVD",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322011",
"telephone_number": "408-371-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14880 LOS GATOS BLVD",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322011",
"telephone_number": "408-371-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "TRAGER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "408-805-0026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"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 Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.