Individual provider Active NPI

Krikor Barsoumian, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1649296021
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
AB350330 Issued in CA
Practice address
2440 Samaritan Dr
Suite 3
San Jose, CA 95124-3911
Phone
(408) 559-4194
Fax
(405) 559-1710
NPI assigned
Jul 15, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X AB350330 CA Primary

Addresses

Primary practice location

2440 Samaritan Dr
Suite 3
San Jose, CA 95124-3911

Mailing address

2440 Samaritan Dr
Suite 3
San Jose, CA 95124-3911
Phone (408) 559-4194

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
I20120301000747 CA Practitioner - Ophthalmology 6608945001 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

2440 Samaritan Dr
San Jose, CA 95124-3993

2440 Samaritan Dr
Suite 3
San Jose, CA 95124-3911
Phone (408) 559-4194

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35033CAMDChiropractor
AB350330CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Ophthalmology CurrentSince Apr 11, 2025 Accepting new patients
County of Santa Clara CurrentSince Jul 4, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 11, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jul 4, 2025 Accepting new patients
Krikor Barsoumian a Professional Corporation Ophthalmology CurrentSince Apr 1, 1980 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Ophthalmology Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2440 Samaritan Dr
Ste 3
San Jose, CA 95124
Phone (408) 559-4194

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

5755 Cottle Rd
San Jose, CA 95123
Phone (408) 972-3095

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

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

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kbarsoumian125553@santaclaravalley.direct-ci.net

Organizations & group practices 10

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.

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649296021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR",
            "address_2": "SUITE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-559-4194",
            "fax_number": "408-559-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR",
            "address_2": "SUITE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-559-4194",
            "fax_number": "405-559-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOUMIAN",
        "first_name": "KRIKOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "AB350330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.