Northern California Kidney Stone Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTHERN CALIFORNIA KIDNEY STONE CENTER INC

Practice address

16400 Lark Ave
Ste 100
Los Gatos, CA 95032

Phone

(408) 358-2805

Fax

(408) 358-2810

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Ali Moayed, MD

Title

President

Phone

(408) 358-2805

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1891885547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-2805",
            "fax_number": "408-358-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-2805",
            "fax_number": "408-358-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA KIDNEY STONE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "MOAYED",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-2805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaeton Thomas Nola, M.D.
• Norcal Integrity Surgery, PC
• Vanessa Nordin, D.C.
• Kristi Norman
• Northern California Kidney Stone Center
• Nova Home Support
• Marni Lisa Novick, AU.D.
• Novomed Primary Care and Aesthetics Inc
• Nstephan, MD, Inc.
• Iheoma Nwaogu, M.D.

• Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.