Individual provider Active NPI

Arash M Padidar, MD

  • Vascular & Interventional Radiology Physician
  • San Jose, CA
National Provider Identifier
1376588160
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G74857 Issued in CA
Practice address
105 N Bascom Ave
Ste 104
San Jose, CA 95128
Phone
(408) 918-0405
Fax
(408) 918-0409
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G74857 CA Primary

Addresses

Primary practice location

105 N Bascom Ave
Ste 104
San Jose, CA 95128

Mailing address

105 N Bascom Ave
Ste 104
San Jose, CA 95128
Phone (408) 918-0405

Other practice location 1

2030 Forest Ave Ste 200
San Jose, CA 95128-4833
Phone (408) 918-0405

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
I20040317001407 CA Practitioner - Other (Physician)Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6103715156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 N Bascom Ave
Suite 104
San Jose, CA 95128-1811
Phone (408) 918-0405

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11
Leg revascularization (restoring blood flow)64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ir Solutions Inc Specialist CurrentSince Aug 1, 2013 Accepting new patients
Ir Solutions Inc Medical Corp Vascular & Interventional Radiology Current Accepting new patients
Minimally Invasive Surgical Solutions Medical Corporation Vascular & Interventional Radiology CurrentSince Oct 1, 2003 Accepting new patients
Templeton Imaging Medical Corporation Inc Past Accepting new patients

Locations

2030 Forest Ave
Ste 200
San Jose, CA 95128
Phone (408) 918-0405

105 N Bascom Ave
Ste 104
San Jose, CA 95128
Phone (408) 918-0400

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1376588160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-918-0405",
            "fax_number": "408-918-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-918-0405",
            "fax_number": "408-918-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Forest Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284833",
            "country_code": "US",
            "telephone_number": "408-918-0405",
            "fax_number": "408-918-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADIDAR",
        "first_name": "ARASH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G74857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.