SANDEEP GIDVANI (NPI# 1801002134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801002134 |
| Entity Type | Individual |
| Full Name | SANDEEP GIDVANI |
| Credential | M.D. |
| Practice Address |
340 Dardanelli Ln Ste 10 Los Gatos CA 95032-1418 |
| Practice Telephone | 4084128100 |
| Mailing Telephone | 4084128100 |
| Mailing Fax Number | 4084128499 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A120186 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A120186 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1801002134 | 05 | |
| CA | GROUP MEDICARE PTAN | 6740500001 | 01 |
| CA | MEDICARE GROUP PTAN | FY744A | 01 |
| CA | STATE LICENSE | A120186 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15585 Monterey Rd Ste A, Morgan Hill, CA 950375460 | 4084128100 | 4084128499 |
| 4140 Jade St Ste 100, Capitola, CA 950103940 | 8314754024 | 8314754344 |
| Street Address |
340 DARDANELLI LN STE 10 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912962556 | Jeffrey Scott Kanel | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2006-04-18 |
| 1508334863 | Jan Kenneth Banting | Physical Therapist | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2018-11-05 |
| 1952876922 | Ashley Marie Sauter | Physician Assistant | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2018-10-05 |
| 1285137588 | Carrie Ann Clark | Clinical Nurse Specialist | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2018-03-13 |
| 1255869178 | Chelsea Jordan Lawrance | Physician Assistant | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032 | 2017-05-24 |
| 1124398235 | Orthonorcal, Inc. | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2012-01-05 |
| 1063707313 | Robert Anthony Cagle | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2011-06-15 |
| 1992010110 | Kathleen Le Lew | Physician Assistant | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032 | 2010-08-12 |
| 1538480082 | Erica Elizabeth Fisk | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032 | 2010-06-18 |
| 1477680643 | Edward C. Littlejohn | Specialist | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225107691 | Jeffrey D Coe | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2006-11-07 |
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| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.