# NORTHERN CALIFORNIA KIDNEY STONE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659547461
- **Authorized official:** DR. FARZANEH TABRIZI MD (DIRECTOR)
- **Authorized official phone:** (408) 358-2805

## Contact information

- **Practice address:** 16400 LARK AVE, STE 100, LOS GATOS, CA 95032-2547
- **Practice address phone:** (408) 358-2805
- **Practice address fax:** (408) 358-2810
- **Mailing address:** 16400 LARK AVE, STE 100, LOS GATOS, CA 95032-2547
- **Mailing address phone:** (408) 358-2805
- **Mailing address fax:** (408) 358-2810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 333600000X | Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008