TELEFAMILYDOC
NPI 1699559781
Family Medicine - Geriatric Medicine in Los Gatos, CA

Active since August 21, 2023
15195 NATIONAL AVE STE 205, LOS GATOS, CA 95032(408) 345-5494(623) 666-6760 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Telefamilydoc NPPES

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

TELEFAMILYDOC (NPI 1699559781) is a healthcare organization registered as a geriatric medicine in Los Gatos, California and active in the NPI registry since August 2023. The organization lists Alex Mirabadi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699559781
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameTELEFAMILYDOC
Location Address15195 NATIONAL AVE STE 205Los Gatos, CA 95032-2631
Mailing Address481 N Santa Cruz Ave Ste 130Los Gatos, CA 95030-5300 · (408) 345-5494 · Fax (623) 666-6760
Fax(623) 666-6760
Organization SubpartNo
Authorized OfficialAlex MirabadiCeo · (408) 354-6760
Enumeration DateAugust 21, 2023
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1699559781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
15195 NATIONAL AVE STE 205, Los Gatos, CA 95032

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 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)

Telefamilydoc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Telefamilydoc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1396037545
299 STOCKTON AVE
San Jose, CA 95126
(408) 535-4600
✔ PECOS✔ Accepts Medicare6.4 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 Telefamilydoc's NPI number?

The NPI number for Telefamilydoc is 1699559781. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Telefamilydoc located?

Telefamilydoc is located at 15195 National Ave Ste 205, Los Gatos, CA 95032. The listed phone number is (408) 345-5494.

What is Telefamilydoc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Telefamilydoc enrolled in Medicare?

Yes. Telefamilydoc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Telefamilydoc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Telefamilydoc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Telefamilydoc was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.