Individual provider Active NPI

Tristan Juhan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mountain View, CA
National Provider Identifier
1720441298
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A154044 Issued in CA
Practice address
2490 Hospital Dr Ste 103
Mountain View, CA 94040-4124
Phone
(408) 412-8100
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A154044 CA Primary

Addresses

Primary practice location

2490 Hospital Dr Ste 103
Mountain View, CA 94040-4124

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 256-2107

Other practice location 1

340 Dardanelli Ln Ste 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100

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
I20220805000377 CA Practitioner - Orthopedic Surgery 5597057463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

340 Dardanelli LN
Suite 10
Los Gatos, CA 95032-1418
Phone (408) 412-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154044CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Sports Medicine Current Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 1, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 1, 2022 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100

2490 Hospital Dr
Ste 103
Mountain View, CA 94040
Phone (408) 412-8100

900 Lafayette St
Ste 105
Santa Clara, CA 95050
Phone (408) 556-8407

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tristan.juhan@8734917853188.direct.elationemr.com
  • Direct secure messaging: tristan.juhan.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: tristan.juhan.p2@direct.muirortho.nextgenshare.com

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 5

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1720441298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-256-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404124",
            "telephone_number": "408-412-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Dardanelli Ln Ste 10",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321418",
            "country_code": "US",
            "telephone_number": "408-412-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUHAN",
        "first_name": "TRISTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A154044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.