IVAN RODRIGO BURGOS (NPI# 1114963121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114963121 |
| Entity Type | Individual |
| Full Name | IVAN RODRIGO BURGOS |
| Credential | M.D |
| Practice Address |
815 Pollard Rd Los Gatos CA 95032-1438 |
| Mailing Address |
2100 Powell St Ste 920 Emeryville CA 94608-1826 |
| Practice Telephone | 4088663863 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A60370 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
815 POLLARD RD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607990 | Margaret V Cooper Vaughn | Specialist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2005-05-23 |
| 1639706468 | Cep America - Neurology PC | Psychiatry & Neurology | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2020-03-23 |
| 1730643040 | Kimberly Christine Ryan | Physical Therapist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2019-01-31 |
| 1396216933 | Brendan Cornelius Eggen | Speech-Language Pathologist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2018-12-07 |
| 1417199340 | El Camino Hospital | General Acute Care Hospital | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2009-03-24 |
| 1528186350 | Kathryn Fraser | Clinical Neuropsychologist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2007-03-27 |
| 1417014275 | Community Hospital of Los Gatos, Inc. | Rehabilitation Unit | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2007-01-02 |
| 1043376049 | Robert Gutshall Amburgey | Emergency Medicine | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2006-12-28 |
| 1780694653 | Center for Gynecologic Oncology and Pelvic Surgery | Obstetrics & Gynecology | 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 | 2006-08-09 |
| 1760408173 | Samuel Cyril Ballon | Obstetrics & Gynecology | 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 | 2006-07-15 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386699841 | Judith Louise Dethlefs | Emergency Medicine | 815 Pollard Road, Los Gatos, CA 95032 | 2006-05-23 |
| 1720346570 | Prachi Shukla Dixit | Emergency Medicine | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | 2012-04-30 |
| 1104192202 | Rachel Kathleen Spoelhof | Emergency Medicine | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | 2012-03-23 |
| 1780953042 | Jsm Southbay, PC | Emergency Medicine | 14777 Los Gatos Blvd, Suite 105, Los Gatos, CA 95032-2059 | 2011-12-15 |
| 1043376049 | Robert Gutshall Amburgey | Emergency Medicine | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2006-12-28 |
| 1467496828 | Kornelis Poelstra | Emergency Medicine | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032 | 2006-06-16 |
| 1093752776 | Michael Benjamin Wolfe | Emergency Medicine | 815 Pollard Road, Los Gatos, CA 95032-1400 | 2006-06-01 |
| 1215982400 | Robert Kemp Carter | Emergency Medicine | 815 Pollard Road, Los Gatos, CA 95032 | 2006-05-24 |
| 1457306979 | Cep America - California | Emergency Medicine | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2006-05-23 |
| 1154376614 | Edward Stanley Klofas | Emergency Medicine | 815 Pollard Road, Los Gatos, CA 95032-1400 | 2006-05-23 |
| Find all providers in LOS GATOS | ||||
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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.