Individual provider Active NPI

Yasmin Anoushiravani, NP

  • Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1841945698
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018283 Issued in CA
Practice address
325 Sharon Park Dr Ste D2
Menlo Park, CA 94025-6804
Phone
(650) 482-7546
Fax
(650) 562-7481
NPI assigned
Feb 18, 2022
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95018283 CA Primary

Addresses

Primary practice location

325 Sharon Park Dr Ste D2
Menlo Park, CA 94025-6804

Mailing address

32 Lundys LN Apt 1
San Francisco, CA 94110-5157
Phone (949) 351-2396

Other practice location 1

100 Arch St Ste 100
Redwood City, CA 94062-1380
Phone (650) 482-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000579 CA Practitioner - Nurse Practitioner 2466962758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

1030 Sir Francis Drake Blvd
Suite 110
Kentfield, CA 94904-1439
Phone (415) 461-1036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khosla Dermatology, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

325 Sharon Park Dr
Ste D2
Menlo Park, CA 94025
Phone (650) 482-7546

100 Arch St
Ste 1
Redwood City, CA 94062
Phone (650) 482-7546

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1841945698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LUNDYS LN APT 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105157",
            "telephone_number": "949-351-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE D2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256804",
            "telephone_number": "650-482-7546",
            "fax_number": "650-562-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Arch St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940621380",
            "country_code": "US",
            "telephone_number": "650-482-7546",
            "fax_number": "650-562-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANOUSHIRAVANI",
        "first_name": "YASMIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.