Individual provider Active NPI

Nasim Khosravi Foroutan, MD

  • Internal Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1649775289
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A174361 Issued in CA
Practice address
700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone
(408) 851-1000
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A174361 CA Primary

Addresses

Primary practice location

700 Lawrence Expy
Santa Clara, CA 95051-5173

Mailing address

978 N Alder St
Canby, OR 97013-3369
Phone (832) 417-8025

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20251023002287 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5294111712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians

Practice addresses (Care Compare)

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174361CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Intensivists PC CurrentSince Dec 17, 2025 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Oct 13, 2025 Accepting new patients
Cep America - Intensivists PC CurrentSince Dec 17, 2025 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 18, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 13, 2025 Accepting new patients

Locations (25 of 36)

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

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

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

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

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

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

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

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

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

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

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

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

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

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

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

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

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

660 4th St
San Francisco, CA 94107
Phone (415) 349-0850

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

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

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1649775289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 N ALDER ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133369",
            "telephone_number": "832-417-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWRENCE EXPY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSRAVI FOROUTAN",
        "first_name": "NASIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "700 Lawrence Expy",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950515173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.