Southbay Colorectal Surgery Solutions

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

SOUTHBAY COLORECTAL SURGERY SOLUTIONS

Practice address

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

Phone

(408) 478-6750

NPI assigned

Nov 21, 2023

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Asya Ofshteyn, MD, MPHNPI 1275929606

Title

Owner

Phone

(415) 505-6506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asya Ofshteyn, MD, MPH

  • Colon & Rectal Surgery Physician
  • San Jose, CA
  • NPI 1275929606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1376318105",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY COLORECTAL SURGERY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "OFSHTEYN",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-505-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Valley Surgical Associates
• Madeline Taylor Southall
• Vanessa Souza, LCSW
• Clayton Edward Soward, CADC II
• Soysal DDS Inc
• Adriana Grace Soza
• Alia Spahr Ono, LCSW #119871

• Colon & Rectal Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.