San Jose Pacific Neurology Cntr Prof Cor
NPI 1124174297 · Psychiatry Physician · San Jose, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Jose Pacific Neurology Cntr Prof Cor is a Psychiatry Physician organization in San Jose, CA (NPI 1124174297).
Provider details
- NPI number
- 1124174297
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raj Gupta, M.D(408) 347-1600
- License
- A93854 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is San Jose Pacific Neurology Cntr Prof Cor's NPI number?
- San Jose Pacific Neurology Cntr Prof Cor's National Provider Identifier (NPI) is 1124174297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Jose Pacific Neurology Cntr Prof Cor?
- San Jose Pacific Neurology Cntr Prof Cor is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is San Jose Pacific Neurology Cntr Prof Cor located?
- San Jose Pacific Neurology Cntr Prof Cor's practice location on file with NPPES is 200 Jose Figueres Ave Ste 200, San Jose, CA 95116-1586.
- What is San Jose Pacific Neurology Cntr Prof Cor's phone number?
- The practice phone number listed in the NPPES registry for San Jose Pacific Neurology Cntr Prof Cor is (408) 347-1600.
- Does San Jose Pacific Neurology Cntr Prof Cor accept Medicare?
- San Jose Pacific Neurology Cntr Prof Cor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Jose Pacific Neurology Cntr Prof Cor?
- The authorized official listed on San Jose Pacific Neurology Cntr Prof Cor's NPPES record is Raj Gupta, M.D. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Jose Pacific Neurology Cntr Prof Cor's NPI active?
- Yes — San Jose Pacific Neurology Cntr Prof Cor's NPI (1124174297) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.