Active NPI
Hrair Puzant Gulesserian, M.D.
- Surgical Oncology Physician
- San Jose, CA
National Provider Identifier
1689626301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- A24341
- Practice address
- 393 Blossom Hill Road
Suite 310
San Jose, CA 95123-1653 - Phone
- (408) 578-5831
- Fax
- (408) 578-6076
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | A24341 | CA | Primary |
Addresses
Primary practice location
393 Blossom Hill Road
Suite 310
San Jose, CA 95123-1653
Mailing address
393 Blossom Hill Road
Suite 310
San Jose, CA 95123-1653
Phone (408) 578-5831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A24341 | Medicaid | CA | |
| 00A243410 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040630000858 | CA | Practitioner - General Surgery | 5496732265 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24341 | CA | MD | Chiropractor |
| A24341 | CA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.P. Gulesserian, MD., Inc. | Surgical Oncology | Current | Accepting new patients |
Locations
393 Blossom Hill Rd
Ste 330
San Jose, CA 95123
Phone (408) 578-5831
393 Blossom Hill Rd
Ste 310
San Jose, CA 95123
Phone (408) 578-5831
Organizations & group practices 1
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.
-
- Surgical Oncology Physician
- San Jose, CA
- NPI 1407042161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500854400000",
"number": "1689626301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 BLOSSOM HILL ROAD",
"address_2": "SUITE 310",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231653",
"telephone_number": "408-578-5831",
"fax_number": "408-578-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 BLOSSOM HILL ROAD",
"address_2": "SUITE 310",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231653",
"telephone_number": "408-578-5831",
"fax_number": "408-578-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULESSERIAN",
"first_name": "HRAIR",
"middle_name": "PUZANT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2017-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A24341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A24341",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A243410",
"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 Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.