Individual provider Active NPI

Anthony J Damore, MD

  • Obstetrics & Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1932131307
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G12987 Issued in CA
Practice address
360 Dardanelli LN
Suite 2a
Los Gatos, CA 95032-1421
Phone
(408) 866-4200
Fax
(408) 866-4943
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G12987 CA Primary

Addresses

Primary practice location

360 Dardanelli LN
Suite 2a
Los Gatos, CA 95032-1421

Mailing address

360 Dardanelli LN
Suite 2a
Los Gatos, CA 95032-1421
Phone (408) 866-4200

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
I20080718000612 CA Practitioner - Obstetrics/Gynecology 1658450549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians

Practice addresses (Care Compare)

2016 Forest Ave
Suite 5
San Jose, CA 95128-4804
Phone (408) 993-9511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G12987CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cardiovascular Care a Medical Corporation Obstetrics & Gynecology CurrentSince Apr 1, 2010 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190

360 Dardanelli Ln
Ste 2A
Los Gatos, CA 95032
Phone (408) 378-7502

200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 937-9000

2016 Forest Ave
Ste 5
San Jose, CA 95128
Phone (408) 286-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1932131307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "SUITE 2A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-866-4200",
            "fax_number": "408-866-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "SUITE 2A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-866-4200",
            "fax_number": "408-866-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMORE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G12987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.