Individual provider Active NPI

Shahriar Sean Parsa, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1376713875
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101165 Issued in CA
Practice address
105 N Bascom Ave Ste 104
San Jose, CA 95128-1811
Phone
(408) 918-0405
Fax
(408) 918-0409
NPI assigned
Mar 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A101165 CA Primary

Addresses

Primary practice location

105 N Bascom Ave Ste 104
San Jose, CA 95128-1811

Mailing address

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

Other names 1

  • Shahriar Sean Parsa Other name

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
I20130220000395 CA Practitioner - General Surgery 3476708553 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.36 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
81.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101165CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Group of San Jose, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Minimally Invasive Surgical Solutions Medical Corporation Family Medicine CurrentSince May 1, 2025 Accepting new patients
John Giddens Jr M.D. Inc Past Accepting new patients
Diversified Medical Center a Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Washington Township Hospital Development Corporation Past Accepting new patients

Locations

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

1910 N Capitol Ave
San Jose, CA 95132
Phone (408) 942-0333

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

105 N Bascom Ave
Ste 203
San Jose, CA 95128
Phone (408) 283-7640

Organizations & group practices 6

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 2

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1376713875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "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 STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-918-0405",
            "fax_number": "408-918-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSA",
        "first_name": "SHAHRIAR",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHRIAR",
            "last_name": "PARSA",
            "middle_name": "SEAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.