Active NPI
Ali Soozani, DO PHD
- Physical Medicine & Rehabilitation Physician
- San Jose, CA
National Provider Identifier
1891759908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A7210
- Practice address
- 2577 Samaritan Drive
Ste 855F
San Jose, CA 95124 - Phone
- (408) 402-9521
- Fax
- (408) 402-9931
- NPI assigned
- Apr 14, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A7210 | CA | Primary |
Addresses
Primary practice location
2577 Samaritan Drive
Ste 855F
San Jose, CA 95124
Mailing address
2577 Samaritan Drive
Ste 855F
San Jose, CA 95124
Phone (408) 402-9521
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60067034 | Other | CA | TAT |
| ZZZ01403Z | Other | CA | BLUE CROSS |
| 00AX72100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Orthopedic Medical Clinic | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Los Gatos, CA
- NPI 1235176025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1891759908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DRIVE",
"address_2": "STE 855F",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-402-9521",
"fax_number": "408-402-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DRIVE",
"address_2": "STE 855F",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-402-9521",
"fax_number": "408-402-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOZANI",
"first_name": "ALI",
"credential": "DO PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A7210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAT",
"identifier": "60067034",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "ZZZ01403Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX72100",
"state": "CA"
}
],
"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 Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.