| San Jose Pacific Neurology Cntr Prof Cor | |
|
200 Jose Figueres Ave Ste 200 San Jose CA 95116-1586 | |
| (408) 347-1600 | |
| (408) 347-0600 |
| Full Name | San Jose Pacific Neurology Cntr Prof Cor |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 Jose Figueres Ave Ste 200, San Jose, California |
| Authorized Official Name and Position | Raj Gupta (M.D) |
| Authorized Official Contact | 4083471600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Pacific Neurology Cntr Prof Cor 200 Jose Figueres Ave Ste 200 San Jose CA 95116-1586 Ph: (408) 347-1600 | San Jose Pacific Neurology Cntr Prof Cor 200 Jose Figueres Ave Ste 200 San Jose CA 95116-1586 Ph: (408) 347-1600 |
| NPI Number | 1124174297 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Medicare PECOS PAC ID | 3173525011 |
|---|---|
| Medicare Enrollment ID | O20070206000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124174297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A93854 (California) | Primary |
| Provider Name | Raj Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831126689 PECOS PAC ID: 5991707838 Enrollment ID: I20070206000738 |
| Provider Name | Akshay Mahesh Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891095964 PECOS PAC ID: 5799097598 Enrollment ID: I20150708001378 |
| Provider Name | Asha Krishnan Kartha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107354 PECOS PAC ID: 7113324815 Enrollment ID: I20210922003582 |
| Provider Name | Prachi Dalal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134813900 PECOS PAC ID: 1658725858 Enrollment ID: I20230921002237 |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 | |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Pacific Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 | |
Sondermind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 | |
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Mac Duee Ct., San Jose, CA 95121 Phone: 609-694-1872 |