Active NPI
Maureen O. Khoo, MD, Inc.
- Specialist
- Los Gatos, CA
National Provider Identifier
1992841357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G83835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen O Khoo, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G83835 | Other | CA | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.