SAWSAWN HAYATDAVOUDI M.D
NPI 1265487649
Emergency Medicine in San Jose, CA

Q: What is Sawsawn Hayatdavoudi's NPI number?

The NPI number for Sawsawn Hayatdavoudi is 1265487649. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Sawsawn Hayatdavoudi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment

225 NORTH JACKSON AVENUE, SAN JOSE, CA 95116(408) 923-7121 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sawsawn Hayatdavoudi M.d NPPES

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

SAWSAWN HAYATDAVOUDI M.D (NPI 1265487649) is an individual emergency medicine provider in San Jose, California, licensed in California (A84223) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2002).

NPPES Registry Identity

NPI1265487649

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSAWSAWN HAYATDAVOUDICredential: M.D

Location Address225 NORTH JACKSON AVENUESan Jose, CA 95116

Mailing Address2100 Powell Street, Ste 920Emeryville, CA 94608-1803 · (510) 350-2600 · Fax (510) 879-9100

Phone(408) 923-7121

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2002

Enumeration DateMay 23, 2006

Last NPPES UpdateNovember 27, 2007

✔ NPI 1265487649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A84223

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

225 NORTH JACKSON AVENUE, San Jose, CA 95116

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Other Identifiers 3

Medicare PIN00A842231CA

Medicaid00A842230CA

Medicare UPINI39819CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sawsawn Hayatdavoudi M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810920576

PECOS Enrollment IDI20050913001175

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sawsawn Hayatdavoudi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California

Same address

Emergency Medicine

225 NORTH JACKSON AVENUE
San Jose, CA 95116

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1568417079 (408) 259-5000

Sutter Bay Medical Foundation

18 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services69 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

35 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

JACOB BENFORD MD

Emergency Medicine