Organization Active NPI

Maureen O. Khoo, MD, Inc.

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1992841357
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G83835 Issued in CA
Legal business name
MAUREEN O. KHOO, MD, INC.
Practice address
320 Dardanelli LN Ste 20B
Los Gatos, CA 95032-1419
Phone
(408) 364-2440
Fax
(408) 374-3085
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Maureen O Khoo, M.D.NPI 1932293560
Title
President
Phone
(408) 364-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G83835 CA Primary

Addresses

Primary practice location

320 Dardanelli LN Ste 20B
Los Gatos, CA 95032-1419

Mailing address

320 Dardanelli LN Ste 20B
Los Gatos, CA 95032-1419
Phone (408) 364-2440

Other identifiers 1

IdentifierTypeStateIssuer
G83835OtherCALICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070208000429 CA Part B Supplier - Clinic/Group Practice 6305848060 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA; Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

320 Dardanelli Ln
Ste 208
Los Gatos, CA 95032
Phone (408) 364-2440

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1269907200000",
    "number": "1992841357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 20B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-364-2440",
            "fax_number": "408-374-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 20B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-364-2440",
            "fax_number": "408-374-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN O. KHOO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "KHOO",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-364-2440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "G83835",
            "state": "CA"
        }
    ],
    "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 Mar 30, 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.

Verify at the official NPI Registry.