Individual provider Active NPI

Shengsheng Guan, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1396195475
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5590 Issued in CA
Practice address
3150 Almaden Expy Ste 205
San Jose, CA 95118-1253
Phone
(650) 762-9855
NPI assigned
Jun 20, 2016
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5590 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 9764 MD

Addresses

Primary practice location

3150 Almaden Expy Ste 205
San Jose, CA 95118-1253

Mailing address

3150 Almaden Expy Ste 205
San Jose, CA 95118-1253
Phone (650) 762-9855

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720001992 CA Practitioner - Podiatry 2466876735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 Moorpark Ave
Suite 170
San Jose, CA 95128-2632
Phone (650) 762-9855

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of skin lesions12
Removal of nail tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5590CAMDFoot & Ankle Surgery Podiatrist
9764MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot and Ankle Medical Clinic Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
County of Santa Clara CurrentSince Mar 29, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 29, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

2211 Moorpark Ave
Ste 170
San Jose, CA 95128
Phone (408) 518-2504

3150 Almaden Expy
Ste 205
San Jose, CA 95118
Phone (408) 227-5854

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sguan174239@santaclaravalley.direct-ci.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1396195475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181253",
            "telephone_number": "650-762-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181253",
            "telephone_number": "650-762-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "SHENGSHENG",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5590",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "9764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.