Individual provider Active NPI

Avery Joseph, DO

  • Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1891351565
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A23247 Issued in CA
Practice address
15965 Los Gatos Blvd Ste 201
Los Gatos, CA 95032-3415
Phone
(408) 358-1855
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A23247 CA Primary

Addresses

Primary practice location

15965 Los Gatos Blvd Ste 201
Los Gatos, CA 95032-3415

Mailing address

15965 Los Gatos Blvd Ste 201
Los Gatos, CA 95032-3415
Phone (408) 358-1855

Other practice location 1

3190 S Bascom Ave Ste 170
San Jose, CA 95124-2500
Phone (408) 850-0176

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
I20241016002962 CA Practitioner - General Surgery 8820323058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
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)

15965 Los Gatos Blvd
Suite 201
Los Gatos, CA 95032-3415
Phone (408) 358-1855

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue101
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23247CAMDSurgery Physician
23247CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Nov 18, 2024 Accepting new patients
Bass Medical Group CurrentSince Nov 18, 2024 Accepting new patients

Locations

15965 Los Gatos Blvd
Los Gatos, CA 95032

15965 Los Gatos Blvd
Ste 201
Los Gatos, CA 95032
Phone (408) 275-6500

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

3190 S Bascom Ave
Ste 170
San Jose, CA 95124
Phone (408) 850-0176

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 4

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1891351565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15965 LOS GATOS BLVD STE 201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323415",
            "telephone_number": "408-358-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15965 LOS GATOS BLVD STE 201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323415",
            "telephone_number": "408-358-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3190 S Bascom Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951242500",
            "country_code": "US",
            "telephone_number": "408-850-0176",
            "fax_number": "408-850-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "AVERY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A23247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.