NOUSHIN SHEIDAEI
NPI 1417392879
Physician Assistant in San Jose, CA

Active since April 29, 2013PECOS Enrolled
696 E SANTA CLARA ST, STE. 202, SAN JOSE, CA 95112(408) 292-9404(408) 292-9476 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Noushin Sheidaei NPPES

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

NOUSHIN SHEIDAEI (NPI 1417392879) is an individual physician assistant in San Jose, California, licensed in California (PA22771) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417392879
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNOUSHIN SHEIDAEI
Location Address696 E SANTA CLARA ST, STE. 202San Jose, CA 95112-1911
Mailing Address2880 Story Rd, Ste 10San Jose, CA 95127-3942 · (408) 292-9404 · Fax (408) 292-9476
Fax(408) 292-9476
Sole ProprietorNo
Enumeration DateApril 29, 2013
Last NPPES UpdateFebruary 4, 2016
NPI 1417392879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22771
Definition
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.
696 E SANTA CLARA ST, San Jose, CA 95112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Noushin Sheidaei is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 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
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 13

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

Internal Medicine (Cardiovascular Disease)
696 E SANTA CLARA ST, SUITE 108
SAN JOSE, CA 95112
Pharmacy (Community/Retail Pharmacy)
696 E SANTA CLARA ST, SUITE 111
SAN JOSE, CA 95112
Marriage & Family Therapist
696 E SANTA CLARA ST, SUITE 204
SAN JOSE, CA 95112
Family Medicine
696 E SANTA CLARA ST, SUITE 210
SAN JOSE, CA 95112
Prosthetic/Orthotic Supplier
696 E SANTA CLARA ST, SUITE 104
SAN JOSE, CA 95112
Physician Assistant
696 E SANTA CLARA ST, SUITE 210
SAN JOSE, CA 95112
Internal Medicine (Cardiovascular Disease)
696 E SANTA CLARA ST, 108
SAN JOSE, CA 95112
Audiologist-Hearing Aid Fitter
696 E SANTA CLARA ST, SUITE 110
SAN JOSE, CA 95112

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 Noushin Sheidaei's NPI number?

The NPI number for Noushin Sheidaei is 1417392879. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Noushin Sheidaei located?

Noushin Sheidaei practices at 696 E Santa Clara St Ste. 202, San Jose, CA 95112. The listed phone number is (408) 292-9404.

What is Noushin Sheidaei's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Noushin Sheidaei enrolled in Medicare?

Yes. Noushin Sheidaei is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noushin Sheidaei was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.