MINA SEHHAT MD PC
NPI 1104101898
Clinic/Center - Primary Care in San Jose, CA

Active since October 13, 2011CLIA 05D1058034 · Waiver
2101 FOREST AVE, SUITE # 104, SAN JOSE, CA 95128(408) 975-7680 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mina Sehhat Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINA SEHHAT MD PC (NPI 1104101898) is a healthcare organization registered as a primary care in San Jose, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Mina Sehhat, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104101898
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMINA SEHHAT MD PC
Location Address2101 FOREST AVE, SUITE # 104San Jose, CA 95128-1448
Mailing Address2101 Forest Ave, Suite # 104San Jose, CA 95128-1448 · (408) 975-7680
Organization SubpartNo
Authorized OfficialMina SehhatCeo · (408) 975-7680
Enumeration DateOctober 13, 2011
NPI 1104101898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · A63182
2101 FOREST AVE, San Jose, CA 95128

Other Identifiers 2

Medicaid00A631820CA
Medicare UPING32665

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1058034

Mina Sehhat MD · San Jose, CA
Active · expires Aug 27, 2026
CLIA Number05D1058034
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorMina Sehhat
Laboratory Phone(408) 975-7680
Laboratory LocationMina Sehhat MD2101 Forest Avenue, Suite 104, San Jose, CA 95128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
2101 FOREST AVE, STE 116
SAN JOSE, CA 95128
Surgery
2101 FOREST AVE, SUITE 100
SAN JOSE, CA 95128
Pediatrics
2101 FOREST AVE, SUITE 128
SAN JOSE, CA 95128
Internal Medicine
2101 FOREST AVE, SUITE 220A
SAN JOSE, CA 95128
Acupuncturist
2101 FOREST AVE, STE 100
SAN JOSE, CA 95128
Chiropractor
2101 FOREST AVE, #123
SAN JOSE, CA 95128
Family Medicine
2101 FOREST AVE, SUITE 124
SAN JOSE, CA 95128
Pain Medicine (Interventional Pain Medicine)
2101 FOREST AVE, SUITE 220A
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Sehhat MD PC's NPI number?

The NPI number for Mina Sehhat MD PC is 1104101898. It was assigned to this organization in the NPPES registry on October 13, 2011.

Where is Mina Sehhat MD PC located?

Mina Sehhat MD PC is located at 2101 Forest Ave Suite # 104, San Jose, CA 95128. The listed phone number is (408) 975-7680.

What is Mina Sehhat MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mina Sehhat MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1058034) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mina Sehhat MD PC was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.