Individual provider Active NPI

Olivia Yan-Shui Hsia, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1518092857
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G44210 Issued in CA
Practice address
105 N Bascom Ave
Suite 103
San Jose, CA 95128-1811
Phone
(408) 999-2900
Fax
(408) 999-0589
NPI assigned
Feb 23, 2007
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 G44210 CA Primary

Addresses

Primary practice location

105 N Bascom Ave
Suite 103
San Jose, CA 95128-1811

Mailing address

27101 Horseshoe LN
Los Altos Hills, CA 94022-1934
Phone (650) 493-2671

Other identifiers 1

IdentifierTypeStateIssuer
00G442100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44210CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chanwell Medical Group, Inc. Past Accepting new patients
Chanwell Medical Group, Inc Family Medicine Past Accepting new patients
Gentle Touch Medical Group, PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBBA

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, 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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1518092857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 HORSESHOE LN",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940221934",
            "telephone_number": "650-493-2671",
            "fax_number": "408-999-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "SUITE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-999-2900",
            "fax_number": "408-999-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIA",
        "first_name": "OLIVIA",
        "middle_name": "YAN-SHUI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G44210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G442100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.