Individual provider Active NPI

Hossein Askariyeh Yazdy, MD

  • Surgery Physician
  • San Jose, CA
National Provider Identifier
1962588178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A25165 Issued in CA
Practice address
25 North 14TH Street
Suite 670
San Jose, CA 95112-6216
Phone
(408) 947-1120
Fax
(408) 947-1852
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A25165 CA Primary

Addresses

Primary practice location

25 North 14TH Street
Suite 670
San Jose, CA 95112-6216

Mailing address

25 North 14TH Street
Suite 670
San Jose, CA 95112-6216
Phone (408) 947-1120

Other identifiers 1

IdentifierTypeStateIssuer
00A251650MedicaidCA

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
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: haskariyahyazdy125545@santaclaravalley.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962588178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORTH 14TH STREET",
            "address_2": "SUITE 670",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126216",
            "telephone_number": "408-947-1120",
            "fax_number": "408-947-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTH 14TH STREET",
            "address_2": "SUITE 670",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126216",
            "telephone_number": "408-947-1120",
            "fax_number": "408-947-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASKARIYEH YAZDY",
        "first_name": "HOSSEIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A25165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A251650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.