Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Los Gatos Podiatry Group, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1124380688

Los Gatos Podiatry Group, Inc is a Foot & Ankle Surgery Podiatrist in Los Gatos, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14651 S Bascom Ave Ste 215
Los Gatos, CA 95032-2014
Phone: (408) 358-2250
Fax: (408) 358-2258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4916 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E4988 (CA)

Record details

NPI number1124380688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azar Dastgah — President · (408) 358-2250
NPI enumeratedJune 11, 2012
Last updated in NPPESFebruary 27, 2013
Mailing address14651 S Bascom Ave, Suite 215, Los Gatos, CA 95032-2014

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