Individual provider Active NPI

Sophia Gaoiran, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1245000504
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028475 Issued in CA
Practice address
1333 Meridian Ave
San Jose, CA 95125-5212
Phone
(408) 445-3400
Fax
(408) 445-1683
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028475 CA Primary

Addresses

Primary practice location

1333 Meridian Ave
San Jose, CA 95125-5212

Mailing address

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other practice location 1

4951 Jetty Dr
Stockton, CA 95206-6365
Phone (707) 328-9289

Other practice location 2

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

Other practice location 3

2039 Forest Ave
San Jose, CA 95128-4817
Phone (408) 947-2929

Other practice location 4

455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520003334 CA Practitioner - Nurse Practitioner 1759723992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Health Center of Santa Clara ValleyGroup PAC ID 1153406665, 37 clinicians

Practice addresses (Care Compare)

1333 Meridian Ave
San Jose, CA 95125-5212
Phone 40844534003730

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028475CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince May 8, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley Past Accepting new patients
Indian Health Center of Santa Clara Valley Past Accepting new patients

Locations

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1333 Meridian Ave
San Jose, CA 95125

Organizations & group practices 4

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 1

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1245000504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255212",
            "telephone_number": "408-445-3400",
            "fax_number": "408-445-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255212",
            "telephone_number": "408-445-3400",
            "fax_number": "408-445-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Jetty Dr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952066365",
            "country_code": "US",
            "telephone_number": "707-328-9289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "fax_number": "408-238-3874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284817",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "fax_number": "408-283-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281632",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "fax_number": "408-283-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAOIRAN",
        "first_name": "SOPHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.