DR. ERICA ELIZABETH FISK (NPI# 1538480082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538480082 |
| Entity Type | Individual |
| Full Name | DR. ERICA ELIZABETH FISK |
| Other Name | ERICA ELIZABETH GARZA |
| Credential | M.D. |
| Practice Address |
340 Dardanelli Ln Ste 10 Los Gatos CA 95032 |
| Mailing Address |
340 Dardanelli Ln Ste 10 Los Gatos CA 95032-1418 |
| Practice Telephone | 4084128100 |
| Mailing Telephone | 4084128100 |
| Mailing Fax Number | 4084128499 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A144531 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
A144531 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A144531 | 01 |
| CA | MEDICARE PTAN | CA218893 | 01 |
| Street Address |
340 DARDANELLI LN STE 10 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032 |
| 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 |
| 1801002134 | Sandeep Gidvani | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2007-05-15 |
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562236 | Walk Run Randall | Orthopaedic Surgery | 28829 Pujol St Apt 718, Temecula, CA 92590-6710 | 2020-03-10 |
| 1003469370 | Total Care Podiatry Services, Inc. | Orthopaedic Surgery | 1663 Eucalyptus Ct, Los Banos, CA 93635-6201 | 2019-07-16 |
| 1508333758 | Lc Loggins | Orthopaedic Surgery | 4041 Altamont Ave, Oakland, CA 94605-2603 | 2018-10-25 |
| 1487996864 | Edward Leo Garr | Orthopaedic Surgery | 1811 Sirrine Dr, Santa Ana, CA 92705-1594 | 2013-03-22 |
| 1124368667 | Candice Lillian Brady | Orthopaedic Surgery | 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012-5901 | 2013-02-20 |
| 1477855955 | Desert Orthopedic Center A Medical Group Inc | Orthopaedic Surgery | 45280 Seeley Dr Fl 2 Rm 3lq, La Quinta, CA 92253-6834 | 2010-12-03 |
| 1184710642 | Clifford D Merkel | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlandss, CA 92374 | 2006-10-04 |
| 1265462337 | Osep Armagan | Orthopaedic Surgery | 141 Triunfo Canyon Rd, Suite 101, Westlake Village, CA 91361-2525 | 2006-07-04 |
| 1184650921 | Disorders of The Foot and Ankle A Medical Corporation | Orthopaedic Surgery | 4130 La Jolla Village Dr., Suite 300, La Jolla, CA 92037-1481 | 2006-06-23 |
| 1417925462 | Kenneth S. Jung II | Orthopaedic Surgery | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2006-03-08 |
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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.