Healthcare Provider Details

I. General information

NPI: 1770496598
Provider Name (Legal Business Name): SHERVIN YOUSEFIAN, MD., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 GRANT RD STE 103
MOUNTAIN VIEW CA
94040-3877
US

IV. Provider business mailing address

2204 GRANT RD STE 103
MOUNTAIN VIEW CA
94040-3877
US

V. Phone/Fax

Practice location:
  • Phone: 650-967-8841
  • Fax: 650-967-8812
Mailing address:
  • Phone: 650-967-8841
  • Fax: 650-967-8812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERVIN YOUSEFIAN
Title or Position: CEO
Credential: MD
Phone: 650-439-4228