Organization Active NPI

Novomed Primary Care and Aesthetics Inc

  • Internal Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1104719152
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVOMED PRIMARY CARE AND AESTHETICS INC
Practice address
14901 National Ave Ste 203
Los Gatos, CA 95032-2637
Phone
(833) 668-6633
Fax
(408) 886-5826
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Shahriar Sharif,NPI 1235717158
Title
Ceo
Phone
(833) 668-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14901 National Ave Ste 203
Los Gatos, CA 95032-2637

Mailing address

1769 Hillsdale Ave # 24098
San Jose, CA 95124-3111

Other practice location 1

1769 Hillsdale Ave # 24098
San Jose, CA 95124-3111
Phone (833) 668-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129002341 CA Part B Supplier - Clinic/Group Practice 6709364904 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

1769 Hillsdale Ave
#24098
San Jose, CA 95124
Phone (833) 668-6633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1104719152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 HILLSDALE AVE # 24098",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE STE 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322637",
            "telephone_number": "833-668-6633",
            "fax_number": "408-886-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1769 Hillsdale Ave # 24098",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243111",
            "country_code": "US",
            "telephone_number": "833-668-6633",
            "fax_number": "408-886-5826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVOMED PRIMARY CARE AND AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SHARIF,",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-668-6633"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.