Active NPI
Shiren Gabi Assaly, P.T.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1699043992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 38489
- Practice address
- 1530 Meridian Ave
Suite 150
San Jose, CA 95125-5350 - Phone
- (408) 979-2300
- Fax
- (408) 979-2301
- NPI assigned
- Dec 1, 2011
- Last updated
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 38489 | CA | Primary |
Addresses
Primary practice location
1530 Meridian Ave
Suite 150
San Jose, CA 95125-5350
Mailing address
1530 Meridian Ave
Suite 150
San Jose, CA 95125-5350
Phone (408) 979-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38489 | CA | MD | General Practice Dentistry |
| PT 38489 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1699043992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 MERIDIAN AVE",
"address_2": "SUITE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255350",
"telephone_number": "408-979-2300",
"fax_number": "408-979-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 MERIDIAN AVE",
"address_2": "SUITE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255350",
"telephone_number": "408-979-2300",
"fax_number": "408-979-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSALY",
"first_name": "SHIREN",
"middle_name": "GABI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 38489",
"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": "275 Hospital Pkwy",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951191106",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.