IndividualActive
Jeremiah Gacusan
NPI 1679987036 · Licensed Psychiatric Technician · Campbell, CA
Jeremiah Gacusan is a Licensed Psychiatric Technician provider in Campbell, CA (NPI 1679987036).
Provider details
- NPI number
- 1679987036
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29197 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
251 Llewellyn Ave
Campbell, CA 95008-1940
Phone: (916) 388-6372
Fax: (916) 779-2558
Street-level locationGet directions
Mailing address
1335 Old Abbey Pl
San Jose, CA 95132-2527
Registry dates
- Enumerated
- 2014-06-13
- Last updated
- 2014-06-13
Frequently asked questions
- What is Jeremiah Gacusan's NPI number?
- Jeremiah Gacusan's National Provider Identifier (NPI) is 1679987036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremiah Gacusan's specialty?
- Jeremiah Gacusan is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Jeremiah Gacusan located?
- Jeremiah Gacusan's practice location on file with NPPES is 251 Llewellyn Ave, Campbell, CA 95008-1940.
- What is Jeremiah Gacusan's phone number?
- The practice phone number listed in the NPPES registry for Jeremiah Gacusan is (916) 388-6372.
- Is Jeremiah Gacusan's NPI active?
- Yes — Jeremiah Gacusan's NPI (1679987036) is active in the NPPES registry as of the last update on 2014-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.