NOUSHIN SHEIDAEI (NPI# 1417392879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417392879 |
| Entity Type | Individual |
| Full Name | NOUSHIN SHEIDAEI |
| Practice Address |
696 E Santa Clara St Ste. 202 San Jose CA 95112-1911 |
| Mailing Address |
2880 Story Rd Ste 10 San Jose CA 95127-3942 |
| Practice Telephone | 4082929404 |
| Practice Fax Number | 4082929476 |
| Mailing Telephone | 4082929404 |
| Mailing Fax Number | 4082929476 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22771 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
696 E SANTA CLARA ST STE. 202 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830185 | Viet-hong Duy Bui | Family Medicine | 696 E Santa Clara St, Suite 210, San Jose, CA 95112-1911 | 2005-12-06 |
| 1841614963 | Ariba Healthcare Group Inc. | Exclusive Provider Organization | 696 E Santa Clara St, Suite 202, San Jose, CA 95112-1911 | 2014-02-10 |
| 1518396712 | Ngai Nguyen | Internal Medicine | 696 E Santa Clara St, 108, San Jose, CA 95112-1911 | 2013-11-07 |
| 1285996546 | Richard Edmund Ferry | Marriage & Family Therapist | 696 E Santa Clara St, Suite 204, San Jose, CA 95112-1911 | 2012-06-13 |
| 1467727651 | Elisa R Rea | Physician Assistant | 696 E Santa Clara St, Suite 210, San Jose, CA 95112-1911 | 2012-03-20 |
| 1245415306 | Mega Drugs LLC | Pharmacy | 696 E Santa Clara St, Suite 111, San Jose, CA 95112-1911 | 2008-01-08 |
| 1790995975 | Hoang Manh Nguyen | Internal Medicine | 696 E Santa Clara St, Suite 108, San Jose, CA 95112-1911 | 2007-05-23 |
| 1609901222 | Bay Area Urgent Care, Inc. | Clinic/Center | 696 E Santa Clara St, Suite 101, San Jose, CA 95112-1911 | 2007-02-22 |
| 1407902471 | Tam T Tran | Prosthetic/Orthotic Supplier | 696 E Santa Clara St, Suite 104, San Jose, CA 95112-1911 | 2007-01-25 |
| 1770649352 | Lisa S Chan | Occupational Therapist | 696 E Santa Clara St, Suite 209, San Jose, CA 95112-1911 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.