LOS GATOS PODIATRY GROUP, INC.
NPI 1124380688
Podiatrist - Foot & Ankle Surgery in Los Gatos, CA

Q: What is Los Gatos Podiatry Group, Inc.'s NPI number?

The NPI number for Los Gatos Podiatry Group, Inc. is 1124380688. It was assigned to this organization in the NPPES registry on June 11, 2012.

Q: What is Los Gatos Podiatry Group, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since June 11, 2012

14651 S BASCOM AVE, SUITE 215, LOS GATOS, CA 95032(408) 358-2250(408) 358-2258 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Los Gatos Podiatry Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOS GATOS PODIATRY GROUP, INC. (NPI 1124380688) is a healthcare organization registered as a foot & ankle surgery in Los Gatos, California and active in the NPI registry since June 2012. The organization lists Azar Dastgah, President, as its authorized official.

NPPES Registry Identity

NPI1124380688

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameLOS GATOS PODIATRY GROUP, INC.

Location Address14651 S BASCOM AVE, SUITE 215Los Gatos, CA 95032-2014

Mailing Address14651 S Bascom Ave, Suite 215Los Gatos, CA 95032-2014 · (408) 358-2250 · Fax (408) 358-2258

Phone(408) 358-2250

Fax(408) 358-2258

Organization SubpartNo

Authorized OfficialAzar DastgahPresident · (408) 358-2250

Enumeration DateJune 11, 2012

Last NPPES UpdateFebruary 27, 2013

✔ NPI 1124380688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in CA · E4916✔ Licensed in CA · E4988

14651 S BASCOM AVE, Los Gatos, CA 95032

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Other Identifiers 1

Medicare NSC6722560001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Los Gatos Podiatry Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Los Gatos Podiatry Group, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Azar Dastgah, DPM

Podiatry

NPI 1922302397

14651 S BASCOM AVE SUITE #215
Los Gatos, CA 95032

(408) 358-2250

✔ PECOS✔ Accepts MedicareSame address

Jessica Hsu, DPM

Podiatry

NPI 1902301336

14651 S BASCOM AVE STE 215
Los Gatos, CA 95032

(408) 358-2250

✔ PECOS✔ Accepts MedicareSame address

Lydia Yun

Podiatry

NPI 1407201395

14651 S BASCOM AVE STE 215
Los Gatos, CA 95032

(408) 358-2250

✔ PECOS✔ Accepts MedicareSame address

Sara Karamloo, DPM

Podiatry

NPI 1396989489

16275 MONTEREY RD STE E
Morgan Hill, CA 95037

(408) 612-4752

✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Gatos Podiatry Group, Inc.'s NPI number?

The NPI number for Los Gatos Podiatry Group, Inc. is 1124380688. It was assigned to this organization in the NPPES registry on June 11, 2012.

Where is Los Gatos Podiatry Group, Inc. located?

Los Gatos Podiatry Group, Inc. is located at 14651 S Bascom Ave Suite 215, Los Gatos, CA 95032. The listed phone number is (408) 358-2250.

What is Los Gatos Podiatry Group, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Los Gatos Podiatry Group, Inc. enrolled in Medicare?

Yes. Los Gatos Podiatry Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Gatos Podiatry Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Los Gatos Podiatry Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Los Gatos Podiatry Group, Inc. was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.