Active NPI
Sebouh S Kouyoumjian
- Social Worker
- San Jose, CA
National Provider Identifier
1750262127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 375716
- Practice address
- 1118 Meridian Ave Ste 150
San Jose, CA 95125-4352 - Phone
- (408) 445-3400
- Fax
- (408) 266-6614
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 375716 | CA | Primary |
Addresses
Primary practice location
1118 Meridian Ave Ste 150
San Jose, CA 95125-4352
Mailing address
1118 Meridian Ave Ste 150
San Jose, CA 95125-4352
Phone (408) 445-3400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375716 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients |
Locations
1118 Meridian Ave
Ste 150
San Jose, CA 95125
Phone (408) 445-8172
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.
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1275964488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1750262127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 MERIDIAN AVE STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951254352",
"telephone_number": "408-445-3400",
"fax_number": "408-266-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 MERIDIAN AVE STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951254352",
"telephone_number": "408-445-3400",
"fax_number": "408-266-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUYOUMJIAN",
"first_name": "SEBOUH",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "375716",
"primary": true
}
],
"identifiers": [],
"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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.