Healthcare Provider Details

I. General information

NPI: 1578831764
Provider Name (Legal Business Name): EL CAMINO HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

973 UNIVERSITY AVE
LOS GATOS CA
95032-7636
US

IV. Provider business mailing address

973 UNIVERSITY AVE
LOS GATOS CA
95032-7636
US

V. Phone/Fax

Practice location:
  • Phone: 408-871-3200
  • Fax: 408-871-3201
Mailing address:
  • Phone: 408-871-3200
  • Fax: 408-871-3201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID ANTHONY NEAPOLITAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 408-871-3222