LOSGATOS PEDIATRICS NPI 1306804331

NPI Information

  • NPI: 1306804331
  • Provider Name: LOSGATOS PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 05D0605900
  • Address: 320 DARDANELLI LN
    STE # 16
    LOS GATOS, CA
    ZIP 95032
  • Phone: (408) 866-7830

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NPI Details

LOSGATOS PEDIATRICS is a pediatrics in Los Gatos, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LOSGATOS PEDIATRICS NPI is 1306804331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 DARDANELLI LN
STE # 16
LOS GATOS, CA
ZIP 95032-440
Phone: (408) 866-7830
Fax: (408) 866-8103

The provider's authorized official is Susan K Bezecny .
The authorized official title is Physician and has the following contact phone number (408) 866-7830.

The CLIA number assigned to this NPI record is 05D0605900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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