Active NPI
Koorosh Cyrus Shariat, MD FCCP
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1124133889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A40649
- Practice address
- 175 N Jackson Ave
Suite 105
San Jose, CA 95116-1909 - Phone
- (408) 926-9700
- Fax
- (408) 926-9247
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A40649 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A40649 | CA | |
| Internal Medicine Physician | 207R00000X | A40649 | CA | Primary |
Addresses
Primary practice location
175 N Jackson Ave
Suite 105
San Jose, CA 95116-1909
Mailing address
175 N Jackson Ave
Suite 105
San Jose, CA 95116-1909
Phone (408) 926-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4832117 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124133889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE",
"address_2": "SUITE 105",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-926-9700",
"fax_number": "408-926-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE",
"address_2": "SUITE 105",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-926-9700",
"fax_number": "408-926-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIAT",
"first_name": "KOOROSH",
"middle_name": "CYRUS",
"credential": "MD FCCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A40649",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A40649",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A40649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4832117",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.