Sanaz Abbasialaei
Individual provider Active NPI Internal Medicine Physician · San Jose, CA
NPI 1104567841 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1104567841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20A21780 (CA)
- Practice address
- 2577 Samaritan Dr Ste 810
San Jose, CA 95124-4109 - Phone
- (408) 523-3620
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
2577 Samaritan Dr
San Jose, CA 95124-4105
370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105003073 | CA | Practitioner - Internal Medicine | 7911497227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21780 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A21780 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
6399 San Ignacio Ave
Ste 120
San Jose, CA 95119
Phone (408) 369-5620
2577 Samaritan Dr
Ste 810
San Jose, CA 95124
Phone (408) 358-0133
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- sabbasialaei764467@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A21780 | CA | Yes |
Addresses
Primary practice location
2577 Samaritan Dr Ste 810
San Jose, CA 95124-4109
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other providers in San Jose, CA
- Rhia Ramos Abarquez
- Gregory R Abate
- Leah Abaye
- Aasef Abbasi Alaei
- Maha Abbasi
- Khurram Abbass
- Puya Abbassi
- Jamie Abbott
- Serena Abbott
- Ashar Abdallah
All providers in San Jose, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.