Individual provider Active NPI

Shayan Essapoor

  • Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1083103725
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5717 Issued in CA
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 464-1982
Fax
(925) 464-2042
NPI assigned
May 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E5717 CA Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 464-1982

Other practice location 1

1210 Rossmoor Pkwy
Walnut Creek, CA 94595-2501
Phone (925) 464-1982

Other practice location 2

12677 Alcosta Blvd Ste 180
San Ramon, CA 94583-4423
Phone (925) 464-1982

Other practice location 3

2350 Country Hills Dr Ste A
Antioch, CA 94509-7436
Phone (925) 464-1982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103001388 CA Practitioner - Podiatry 7618387622 Reassigns benefits to 1 organization
Practice locations: Tarzana, CA; Stockton, CA; Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2350 Country Hills Dr
Antioch, CA 94509-7436

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as individual
Quality
89.59
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue213
Removal of skin lesions35
Removal of nail tissue694
Removal or shaving of skin growth643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5717CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Multi-Specialty CurrentSince Aug 15, 2021 Accepting new patients
Bass Medical Group Multi-Specialty Current Accepting new patients
Bass Medical Group Multi-Specialty CurrentSince Aug 15, 2021 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Multi-Specialty Past Accepting new patients
Bass Medical Group Multi-Specialty Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

350 30th St
Ste 210
Oakland, CA 94609
Phone (510) 832-6131

12677 Alcosta Blvd
Ste 180
San Ramon, CA 94583
Phone (925) 464-1982

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sessapoor145940@ehr.johnmuirhealth.com
  • Direct secure messaging: sessapoor595106@hisp.ehr.sutterhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1083103725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Rossmoor Pkwy",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945952501",
            "country_code": "US",
            "telephone_number": "925-464-1982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12677 Alcosta Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834423",
            "country_code": "US",
            "telephone_number": "925-464-1982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Country Hills Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945097436",
            "country_code": "US",
            "telephone_number": "925-464-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSAPOOR",
        "first_name": "SHAYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.