NORTHERN CALIFORNIA KIDNEY STONE CENTER INC (NPI# 1891885547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891885547 |
| Entity Type | Organization |
| Organization Name | NORTHERN CALIFORNIA KIDNEY STONE CENTER INC |
| Practice Address |
16400 Lark Ave Ste 100 Los Gatos CA 95032 |
| Practice Telephone | 4083582805 |
| Practice Fax Number | 4083582810 |
| Mailing Telephone | 4083582805 |
| Mailing Fax Number | 4083582810 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | ALI MOAYED (PRESIDENT) |
| Authorized Official Telephone | 4083582805 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710085154 | Northern California Kidney Stone Center Inc | Clinic/Center | 16400 Lark Ave, Ste 100, Las Gatos, CA 95032 | 2006-09-20 |
| Street Address |
16400 LARK AVE STE 100 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126503 | Ali Moayed | Urology | 16400 Lark Ave, Ste 300, Los Gatos, CA 95032 | 2006-09-20 |
| 1457893596 | Los Gatos Medical Center | Substance Abuse Rehabilitation Facility | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2016-11-07 |
| 1184966657 | Los Gatos Medical Center Inc | Skilled Nursing Facility | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2013-03-22 |
| 1699071563 | Loree Pinnavaia | Chiropractor | 16400 Lark Ave, Suite 220, Los Gatos, CA 95032-2547 | 2011-02-09 |
| 1619271301 | Los Gatos Medical Center Asc | Clinic/Center | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2011-01-10 |
| 1518261379 | Los Gatos Medical Center Inc | Clinic/Center | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2011-01-07 |
| 1568784478 | Esther Hsiu-hsin-hua Chen | Family Medicine | 16400 Lark Ave, Los Gatos, CA 95032-2547 | 2010-02-18 |
| 1417100348 | Gentle Touch Medical Group | Internal Medicine | 16400 Lark Ave, Suite 150, Los Gatos, CA 95032-2563 | 2008-10-23 |
| 1285886804 | Sleepquest, Inc. | Durable Medical Equipment & Medical Supplies | 16400 Lark Ave, Suite 210, Los Gatos, CA 95032-2547 | 2008-10-14 |
| 1659547461 | Northern California Kidney Stone Center | Pharmacy | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2008-05-01 |
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| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1235449364 | Sonya S Patel Do, Inc | Clinic/Center | 777 Knowles Dr Ste 15, Los Gatos, CA 95032-1417 | 2010-10-07 |
| 1033448931 | About Women's Health Medical Group | Clinic/Center | 15251 National Ave Ste 104, Los Gatos, CA 95032-2400 | 2009-12-24 |
| 1225191026 | Bay Area Hyperbarics | Clinic/Center | 14589 S Bascom Ave, Los Gatos, CA 95032-2026 | 2006-12-19 |
| 1447352737 | Samaritan Endoscopy Center, Inc. | Clinic/Center | 15195 National Avenue, Suite 204, Los Gatos, CA 95032-2631 | 2006-09-05 |
| 1629444872 | Miracle Acupuncture Professional Corporation | Clinic/Center | 14127 Capri Dr, Suite 5a, Los Gatos, CA 95032-1534 | 2015-08-11 |
| 1518261379 | Los Gatos Medical Center Inc | Clinic/Center | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2011-01-07 |
| 1003914383 | Ali Moayed Md Inc Med Grp | Clinic/Center | 16400 Lark Ave, Ste 300, Los Gatos, CA 95032-2547 | 2006-09-20 |
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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.