Los Gatos Podiatry Group, Inc.
NPI 1124380688ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Los Gatos, CA
Podiatrist, Foot & Ankle Surgery in Los Gatos, California, registered in NPPES in June 2012. The authorized official on file is Azar Dastgah, DPM, President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1124380688 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2012 |
| Last updated in NPPES | Feb 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | E4916 | CA |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | E4988 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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