Individual provider Active NPI

Shervin Yousefian, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mountain View, CA
National Provider Identifier
1801055900
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A125229 Issued in CA
Practice address
2204 Grant Rd Ste 103
Mountain View, CA 94040-3877
Phone
(650) 967-8841
Fax
(650) 967-8812
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A125229 CA Primary

Addresses

Primary practice location

2204 Grant Rd Ste 103
Mountain View, CA 94040-3877

Mailing address

2204 Grant Rd Ste 103
Mountain View, CA 94040-3877
Phone (650) 967-8841

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
I20170313001553 CA Practitioner - Internal MedicinePractitioner - Endocrinology 1658552203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3877
Phone (650) 967-8841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125229CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 16, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
Bass Medical Group CurrentSince Jan 16, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2017 Accepting new patients
Bass Medical Group Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2204 Grant Rd
Ste 103
Mountain View, CA 94040
Phone (650) 967-8841

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: syousefian162197@ehr.johnmuirhealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1801055900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD STE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD STE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFIAN",
        "first_name": "SHERVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A125229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.