Individual provider Active NPI

Yazeed Mazen Gussous, M.B.B.S.

  • Orthopaedic Surgery Physician
  • Mountain View, CA
National Provider Identifier
1891969184
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A130401 Issued in CA
Practice address
2495 Hospital Dr Ste 460
Mountain View, CA 94040-4172
Phone
(650) 962-4617
Fax
(650) 962-4618
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 107051 MN
Orthopaedic Surgery Physician 207X00000X 56898 MN
Orthopaedic Surgery Physician 207X00000X 35129198 OH
Orthopaedic Surgery Physician 207X00000X A130401 CA Primary

Addresses

Primary practice location

2495 Hospital Dr Ste 460
Mountain View, CA 94040-4172

Mailing address

2495 Hospital Dr Ste 460
Mountain View, CA 94040-4172
Phone (650) 962-4617

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
I20140826002968 CA Practitioner - Orthopedic Surgery 9032351382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 450
Mountain View, CA 94040-4171
Phone (408) 871-3400

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Saratoga, CA, CCN 757662
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion160
Laminectomy or laminotomy (partial removal of spine bones)53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130401CAMDOrthopaedic Surgery Physician
35129198OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Apr 5, 2020 Accepting new patients
El Camino Health Medical Group CurrentSince Jun 1, 2018 Accepting new patients
El Camino Hospital Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients

Locations

700 W Parr Ave
Ste A
Los Gatos, CA 95032
Phone (408) 356-3178

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2660 Grant Rd
Ste E
Mountain View, CA 94040
Phone (650) 962-4370

2490 Hospital Dr
Ste 102
Mountain View, CA 94040
Phone (650) 934-7520

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ygussous46407@icare.elcaminohospital.org

Organizations & group practices 5

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1891969184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 460",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404172",
            "telephone_number": "650-962-4617",
            "fax_number": "650-962-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 460",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404172",
            "telephone_number": "650-962-4617",
            "fax_number": "650-962-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSOUS",
        "first_name": "YAZEED",
        "middle_name": "MAZEN",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "107051",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "56898",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35129198",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A130401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.