Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vista S Khosravi, MD

Individual provider Dermatology Physician · NPI 1407868789

Vista S Khosravi, MD is a Dermatology Physician in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Great Oaks Blvd
San Jose, CA 95119-1310
Phone: (408) 363-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G80120 (CA)

Record details

NPI number1407868789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 13, 2006
Last updated in NPPESJuly 8, 2007

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