1. Home
  2. Directory
  3. California
  4. Los Gatos
  5. Pediatrics
  6. NPI Profile

SOUTH BASCOM PEDIATRICS INC
NPI 1275542805
Pediatrics in Los Gatos, CA

Active since August 05, 2006CLIA 05D1031204 · Waiver
15899 LOS GATOS ALMADEN RD, SUITE 4, LOS GATOS, CA 95032(408) 356-7770(408) 356-7774 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bascom Pediatrics Inc NPPES

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

SOUTH BASCOM PEDIATRICS INC (NPI 1275542805) is a healthcare organization registered as a pediatrics in Los Gatos, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Mary Beth Hughes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275542805
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH BASCOM PEDIATRICS INC
Location Address15899 LOS GATOS ALMADEN RD, SUITE 4Los Gatos, CA 95032-3739
Mailing Address15899 Los Gatos Almaden Rd, Suite 4Los Gatos, CA 95032-3739 · (408) 356-7770 · Fax (408) 356-7774
Phone(408) 356-7770
Fax(408) 356-7774
Organization SubpartNo
Authorized OfficialMary Beth HughesCfo · (408) 356-7770
Enumeration DateAugust 5, 2006
Last NPPES UpdateOctober 17, 2014
✔ NPI 1275542805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · G69138✔ Licensed in CA · G56745
Definition
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.
15899 LOS GATOS ALMADEN RD, Los Gatos, CA 95032
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1031204

Packard Children's Health Alliance Dba South Bascom Pediatrics · Los Gatos, CA
Active · expires Sep 26, 2026
CLIA Number05D1031204
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorPatricia A. Ferrari, MD
Laboratory Phone(408) 356-7770
Laboratory LocationPackard Children's Health Alliance Dba South Bascom Pediatrics15899 Los Gatos Almaden Rd Ste 4, Los Gatos, CA 95032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY BETH HUGHES MD
Pediatrics
15899 LOS GATOS ALMADEN RD, SUITE 4
LOS GATOS, CA 95032
Santa Clara County (408) 356-7770
MS. KHIM CHOONG L. AC.
Acupuncturist
15899 LOS GATOS ALMADEN RD, #10
LOS GATOS, CA 95032
Santa Clara County (408) 356-6601
BEYOND PROSTHETICS, INC.
Prosthetic/Orthotic Supplier
15899 LOS GATOS ALMADEN RD, SUITE 7
LOS GATOS, CA 95032
Santa Clara County (408) 356-6300
TAUGHINBAUGH PODIATRY CORPORATION
Podiatrist (Foot & Ankle Surgery)
15899 LOS GATOS ALMADEN RD, SUITE 11
LOS GATOS, CA 95032
Santa Clara County (408) 356-2196
PATRICIA ANN FERRARI MD, PHD
Pediatrics
15899 LOS GATOS ALMADEN RD, SUITE 4
LOS GATOS, CA 95032
Santa Clara County (408) 356-7770
MS. NICOLE CAVALEA MS, CCC-SLP, OMT
Speech-Language Pathologist
15899 LOS GATOS ALMADEN RD, SUITE 10
LOS GATOS, CA 95032
Santa Clara County (408) 442-2302
AMI J PATEL PA-C
Physician Assistant
15899 LOS GATOS ALMADEN RD, #4
LOS GATOS, CA 95032
Santa Clara County (408) 358-8801
MS. MARY JANE HENDERSON GNP
Nurse Practitioner
15899 LOS GATOS ALMADEN RD, SUITE #12
LOS GATOS, CA 95032
Santa Clara County (408) 358-2663

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 South Bascom Pediatrics Inc's NPI number?

The NPI number for South Bascom Pediatrics Inc is 1275542805. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is South Bascom Pediatrics Inc located?

South Bascom Pediatrics Inc is located at 15899 Los Gatos Almaden Rd Suite 4, Los Gatos, CA 95032. The listed phone number is (408) 356-7770.

What is South Bascom Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does South Bascom Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1031204) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Bascom Pediatrics Inc was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.