LOS GATOS ORAL & FACIAL SURGERY
NPI 1558080838
Oral & Maxillofacial Surgery in Los Gatos, CA

Active since August 22, 2022CLIA 05D2034769 · Waiver
14830 LOS GATOS BLVD STE 200, LOS GATOS, CA 95032(408) 412-8400(408) 412-5500 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2022, Aug 22, 2022 (2 updates tracked since 2022).

About Los Gatos Oral & Facial Surgery NPPES

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

LOS GATOS ORAL & FACIAL SURGERY (NPI 1558080838) is a healthcare organization registered as an oral & maxillofacial surgery in Los Gatos, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Lee Walker, President, as its authorized official.

NPPES Registry Identity

NPI1558080838
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameLOS GATOS ORAL & FACIAL SURGERY
Location Address14830 LOS GATOS BLVD STE 200Los Gatos, CA 95032-2053
Mailing Address14830 Los Gatos Blvd Ste 200Los Gatos, CA 95032-2053 · (408) 412-8400 · Fax (408) 412-5500
Fax(408) 412-5500
Organization SubpartNo
Authorized OfficialLee WalkerPresident · (408) 412-8400
Enumeration DateAugust 22, 2022
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1558080838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

14830 LOS GATOS BLVD STE 200, Los Gatos, CA 95032

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 05D2034769

Los Gatos Oral & Facial Surgery · Los Gatos, CA
Active · expires Jan 3, 2028
CLIA Number05D2034769
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorLee R. Walker
Laboratory Phone(408) 412-8400
Laboratory LocationLos Gatos Oral & Facial Surgery14830 Los Gatos Blvd Ste 200, 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 2

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

Dentist (Oral and Maxillofacial Surgery)
14830 LOS GATOS BLVD STE 200
LOS GATOS, CA 95032
Dentist (Oral and Maxillofacial Surgery)
14830 LOS GATOS BLVD STE 200
LOS GATOS, CA 95032

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 Oral & Facial Surgery's NPI number?

The NPI number for Los Gatos Oral & Facial Surgery is 1558080838. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Los Gatos Oral & Facial Surgery located?

Los Gatos Oral & Facial Surgery is located at 14830 Los Gatos Blvd Ste 200, Los Gatos, CA 95032. The listed phone number is (408) 412-8400.

What is Los Gatos Oral & Facial Surgery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Does Los Gatos Oral & Facial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2034769) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Gatos Oral & Facial Surgery was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.