Healthcare Provider Details

I. General information

NPI: 1780500850
Provider Name (Legal Business Name): JASON OSKOUI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 STONERIDGE DR STE 150
PLEASANTON CA
94588-3502
US

IV. Provider business mailing address

25 ISLAND CT
WALNUT CREEK CA
94595-1213
US

V. Phone/Fax

Practice location:
  • Phone: 925-417-8733
  • Fax:
Mailing address:
  • Phone: 408-658-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: