Siavosh Vossough, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A61091 Issued in CA

Practice address

851 Fremont Ave
Suite 112
Los Altos, CA 94024-5698

Phone

(650) 949-2771

Fax

(650) 949-2388

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

DermatologyAlso: Internal Medicine

Education

Albany Medical College of Union University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.47 of 100Reported as individual

Quality

97.77

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BECIAA/Endpoint/BECIAA
• FHIR API: https://fhir4.healow.com/fhir/r4/BECIAA

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.

• Los Altos Dermatology, Inc

  • Dermatology Physician
  • Los Altos, CA
  • NPI 1457493033
  Medicare reassignment NPD Authorized official
• Connie Ho, MD, Professional Corporation

  • Specialist
  • Palo Alto, CA
  • NPI 1912077256

  Dermatology

  Medicare reassignment NPD
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• El Camino Hospital

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1922192111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 112",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-949-2771",
            "fax_number": "650-949-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE",
            "address_2": "SUITE 112",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245698",
            "telephone_number": "650-949-2771",
            "fax_number": "650-949-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSOUGH",
        "first_name": "SIAVOSH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A61091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Johanson Vinnicombe, OTR/L
• Divya Rathna Viswanathan, M.D.
• Karthikeyan Viswanathan, DO
• Catherine Vo
• Marianne Von Michalofski
• Elinor Eugenia Wahrmann, LMFT
• Yolanda Wai
• Walgreen Co
• Edna Wallace, LMFT
• Janeen E. Wallace, PT, DPT

• Dermatology Physician in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.