SOUTHBAY COLORECTAL SURGERY SOLUTIONS
NPI 1376318105
Colon & Rectal Surgery in San Jose, CA

Active since November 21, 2023
2440 SAMARITAN DR STE 1, SAN JOSE, CA 95124(408) 478-6750 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southbay Colorectal Surgery Solutions NPPES

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

SOUTHBAY COLORECTAL SURGERY SOLUTIONS (NPI 1376318105) is a healthcare organization registered as a colon & rectal surgery in San Jose, California and active in the NPI registry since November 2023. The organization lists Asya Ofshteyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1376318105
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameSOUTHBAY COLORECTAL SURGERY SOLUTIONS
Location Address2440 SAMARITAN DR STE 1San Jose, CA 95124-3911
Mailing Address197 La Canada CtLos Gatos, CA 95032-7678
Organization SubpartNo
Authorized OfficialAsya OfshteynOwner · (415) 505-6506
Enumeration DateNovember 21, 2023
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1376318105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
2440 SAMARITAN DR STE 1, San Jose, CA 95124

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southbay Colorectal Surgery Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southbay Colorectal Surgery Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colorectal Surgery (Proctology)
NPI 1275929606
2440 SAMARITAN DR STE 1
San Jose, CA 95124
(408) 478-6750
✔ PECOS✔ Accepts MedicareSame address

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

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 Southbay Colorectal Surgery Solutions's NPI number?

The NPI number for Southbay Colorectal Surgery Solutions is 1376318105. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is Southbay Colorectal Surgery Solutions located?

Southbay Colorectal Surgery Solutions is located at 2440 Samaritan Dr Ste 1, San Jose, CA 95124. The listed phone number is (408) 478-6750.

What is Southbay Colorectal Surgery Solutions's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Southbay Colorectal Surgery Solutions enrolled in Medicare?

Yes. Southbay Colorectal Surgery Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southbay Colorectal Surgery Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Southbay Colorectal Surgery Solutions. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southbay Colorectal Surgery Solutions was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.