Sports & Occupation Medical Associates
NPI 1811033368ActiveOrganization· Specialist· Los Gatos, CA
Specialist in Los Gatos, California, registered in NPPES in January 2007. The authorized official on file is Linda Ann Dean, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811033368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | May 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G60236 | CA |
| Specialist | 174400000X | G69134 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Specialist providers in Los Gatos
- 1659609980
- 1841644804
- 1609171230
- 1750427431
- 1134283294
- 1992841357
- 1578534194
- 1982716478
- 1134269715
- 1689919938
- 1912129099
- 1992077192