SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR (NPI# 1124174297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124174297 |
| Entity Type | Organization |
| Organization Name | SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR |
| Practice Address |
200 Jose Figueres Ave Ste 200 San Jose CA 95116-1586 |
| Practice Telephone | 4083471600 |
| Practice Fax Number | 4083470600 |
| Mailing Telephone | 4083471600 |
| Mailing Fax Number | 4083470600 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DR. RAJ GUPTA (M.D) |
| Authorized Official Telephone | 4083471600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A93854 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 JOSE FIGUERES AVE STE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
| 1255954145 | Strive Psychiatric Services Inc. | Psychiatry & Neurology | 2570 N 1st St Fl 2, San Jose, CA 95131-1035 | 2020-05-26 |
| 1891293007 | Norman Reynolds | Psychiatry & Neurology | 1730 Hamilton Ave, San Jose, CA 95125-5424 | 2018-01-23 |
| 1861900367 | Golden Gate Psychiatry Associates | Psychiatry & Neurology | 2570 N 1st St Ste 216, San Jose, CA 95131-1035 | 2018-01-18 |
| 1114314846 | Jennifer Atienza Duyanen | Psychiatry & Neurology | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | 2015-04-21 |
| 1245596329 | Honor Hsin | Psychiatry & Neurology | 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 | 2012-04-03 |
| 1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
| 1093006983 | Yang Xu | Psychiatry & Neurology | 1530 The Alameda, Suite 315, San Jose, CA 95126-2303 | 2011-04-26 |
| 1326277567 | Samer Salmo | Psychiatry & Neurology | 1530 The Alameda Ste 315, San Jose, CA 95126-2303 | 2009-07-09 |
| 1881821791 | Suzanna Lynn Freerksen | Psychiatry & Neurology | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2009-06-18 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.