Puya Abbassi, D.O.
Individual provider Active NPI Neurology Physician · San Jose, CA
NPI 1831695428 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1831695428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 20A20734 (CA)
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2699 - Phone
- (408) 885-5000
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Santa Clara Valley Medical Center
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230330000438 | CA | Practitioner - Neurology | 5193199354 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20734 | CA | MD | Neurology Physician |
| 291467 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current |
Accepting new patients |
| County of Santa Clara | Single Specialty | Current |
Accepting new patients |
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Single Specialty | Current |
Accepting new patients |
Locations
9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
750 S Bascom Ave
#1112
San Jose, CA 95128
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- pabbassi194764@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 291467 | MA | |
| Neurology Physician |
2084N0400X | 20A20734 | CA | Yes |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2699
Mailing address
751 S Bascom Ave
San Jose, CA 95128-2699
Phone (408) 885-5000
Other practice location 1
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
Other providers in San Jose, CA
- Leah Abaye
- Aasef Abbasi Alaei
- Maha Abbasi
- Sanaz Abbasialaei
- Khurram Abbass
- Jamie Abbott
- Serena Abbott
- Ashar Abdallah
- Manar Ahmed Abdelmegeed
- Halimo Farah Abdi
All providers in San Jose, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.