Individual provider Active NPI

Dominic Anthony Hovsepian, MD

  • Neurology Physician
  • Palo Alto, CA
National Provider Identifier
1154749588
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A141089 Issued in CA
Practice address
795 El Camino Real
Lee Building
Palo Alto, CA 94022
Phone
(650) 853-4765
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X A141089 CA
Neurology Physician 2084N0400X 1467 WI
Clinical Neurophysiology Physician 2084N0600X A141089 CA
Neurology Physician 2084N0400X A141089 CA Primary

Addresses

Primary practice location

795 El Camino Real
Lee Building
Palo Alto, CA 94022

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 853-2983

Other practice location 1

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Other practice location 2

16130 Juan Hernandez Dr Ste 110
Morgan Hill, CA 95037-5527
Phone (408) 778-4886

Other identifiers 1

IdentifierTypeStateIssuer
A141089OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200504002661 CA Practitioner - NeurologyPractitioner - Other (Physician) 5991136160 Reassigns benefits to 4 organizations
I20221122000492 WI Practitioner - Neurology 5991136160
I20221207002807 OR Practitioner - Neurology 5991136160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
JS Weill Medical College, Cornell University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200

2577 Samaritan Dr
San Jose, CA 95124-4105

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

301 Industrial Rd
San Carlos, CA 94070-2603
Phone (415) 600-1000

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

701 E El Camino Real
Mountain View, CA 94040-2833
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Saratoga, CA, CCN 757662
  • Sutter Care at Home Home health agency, San Mateo, CA, CCN 058123
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1467WIMDOptometrist
A141089CAMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Neurology CurrentSince Jul 31, 2024 Accepting new patients
Stanford Health Care CurrentSince Jul 31, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Asante Physician Partners CurrentSince Aug 13, 2022 Accepting new patients
Stanford Health Care Neurology Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 31, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 8, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 8, 2024 Accepting new patients
Sutter East Bay Medical Foundation Neurology Past Accepting new patients
Aurora Medical Center of Oshkosh, Inc 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

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

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
#1112
Palo Alto, CA 94301

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

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

301 Industrial Rd
San Carlos, CA 94070
Phone (650) 596-4000

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

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

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Interoperability endpoints

  • Direct secure messaging: dhovsepian563879@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1154749588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "650-853-2983",
            "fax_number": "650-853-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL",
            "address_2": "LEE BUILDING",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94022",
            "telephone_number": "650-853-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047668",
            "country_code": "US",
            "telephone_number": "920-303-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16130 Juan Hernandez Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950375527",
            "country_code": "US",
            "telephone_number": "408-778-4886",
            "fax_number": "408-778-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVSEPIAN",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CA",
            "license": "A141089",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "1467",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A141089",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A141089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A141089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.