UROLOGIC MEDICAL CLINIC OF LOS GATOS (NPI# 1578809075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578809075 |
| Entity Type | Organization |
| Organization Name | UROLOGIC MEDICAL CLINIC OF LOS GATOS |
| Practice Address |
320 Dardanelli Ln 23b Los Gatos CA 95032-1440 |
| Practice Telephone | 4088662500 |
| Practice Fax Number | 4088662469 |
| Mailing Telephone | 4088662500 |
| Mailing Fax Number | 4088662469 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | DOMENICO J MANZONE (PRESIDENT) |
| Authorized Official Telephone | 4088662500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
320 DARDANELLI LN 23B |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104880277 | Lucy L. Lin | Neuromusculoskeletal Medicine, Sports Medicine | 320 Dardanelli Ln, Ste 17, Los Gatos, CA 95032-1440 | 2006-04-14 |
| 1881996056 | Urological Surgeons of Northern California | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2010-11-22 |
| 1245482645 | David H.c. King, M.d., A Medical Corporation | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2008-10-16 |
| 1699843680 | Hema Jhamb | Dentist | 320 Dardanelli Ln, 12, Los Gatos, CA 95032-1440 | 2006-11-30 |
| 1871666248 | Norman Chow | Family Medicine | 320 Dardanelli Ln, #10b, Los Gatos, CA 95032-1440 | 2006-11-15 |
| 1669579207 | Domenico J. Manzone | Urology | 320 Dardanelli Ln, Suite 23 B, Los Gatos, CA 95032-1440 | 2006-09-17 |
| 1679678296 | Beverly Barboza | Internal Medicine | 320 Dardanelli Ln, Suite #26b, Los Gatos, CA 95032-1440 | 2006-09-14 |
| 1306949706 | Serena T Tan | Pediatrics | 320 Dardanelli Ln, Suite 16, Los Gatos, CA 95032-1440 | 2006-09-07 |
| 1114959558 | Willie Dy Lu | Specialist | 320 Dardanelli Ln, Suite @ 21 B, Los Gatos, CA 95032-1440 | 2006-07-07 |
| 1578507083 | David H.c. King | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2006-06-15 |
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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 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126503 | Ali Moayed | Urology | 16400 Lark Ave, Ste 300, Los Gatos, CA 95032 | 2006-09-20 |
| 1881996056 | Urological Surgeons of Northern California | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2010-11-22 |
| 1245482645 | David H.c. King, M.d., A Medical Corporation | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2008-10-16 |
| 1669579207 | Domenico J. Manzone | Urology | 320 Dardanelli Ln, Suite 23 B, Los Gatos, CA 95032-1440 | 2006-09-17 |
| 1578507083 | David H.c. King | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.