Individual provider Active NPI

Asya Ofshteyn, MD, MPH

  • Colon & Rectal Surgery Physician
  • San Jose, CA
National Provider Identifier
1275929606
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
191919 Issued in CA
Practice address
2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911
Phone
(408) 478-6750
Fax
(408) 478-6720
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 191919 CA Primary

Addresses

Primary practice location

2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911

Mailing address

197 La Canada CT
Los Gatos, CA 95032-7678
Phone (415) 505-6506

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812001474 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4981081304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2440 Samaritan Dr
Suite 1
San Jose, CA 95124-3911
Phone (408) 478-6750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191919CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southbay Colorectal Surgery Solutions Colon & Rectal Surgery CurrentSince Jun 25, 2024 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

14850 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-2868

2440 Samaritan Dr
Ste 1
San Jose, CA 95124
Phone (408) 478-6750

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 4

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1275929606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 LA CANADA CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327678",
            "telephone_number": "415-505-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-478-6750",
            "fax_number": "408-478-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFSHTEYN",
        "first_name": "ASYA",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "191919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.