OrganizationActive
East Ivy Panacea Inc
NPI 1184229577 · Psychiatry Physician · San Jose, CA
East Ivy Panacea Inc is a Psychiatry Physician organization in San Jose, CA (NPI 1184229577).
Provider details
- NPI number
- 1184229577
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sarbani Maitra, Ceo(408) 442-5326
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2516 Samaritan Dr Ste B
San Jose, CA 95124-4108
Phone: (408) 442-5326
Street-level locationGet directions
Mailing address
16320 Alexander Ct
Monte Sereno, CA 95030-5204
Other names (DBA / former)
- Doing business as
- Lumos Psychiatric Services
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Frequently asked questions
- What is East Ivy Panacea Inc's NPI number?
- East Ivy Panacea Inc's National Provider Identifier (NPI) is 1184229577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Ivy Panacea Inc?
- East Ivy Panacea Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is East Ivy Panacea Inc located?
- East Ivy Panacea Inc's practice location on file with NPPES is 2516 Samaritan Dr Ste B, San Jose, CA 95124-4108.
- What is East Ivy Panacea Inc's phone number?
- The practice phone number listed in the NPPES registry for East Ivy Panacea Inc is (408) 442-5326.
- Who is the authorized official for East Ivy Panacea Inc?
- The authorized official listed on East Ivy Panacea Inc's NPPES record is Sarbani Maitra, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Ivy Panacea Inc's NPI active?
- Yes — East Ivy Panacea Inc's NPI (1184229577) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.