SHANE SAPUTRA
NPI 1023762259
Registered Nurse in San Jose, CA

Active since February 07, 2022
425 E SANTA CLARA ST, SAN JOSE, CA 95113(669) 245-3429 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Saputra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE SAPUTRA (NPI 1023762259) is an individual registered nurse in San Jose, California, licensed in California (95260284) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1023762259
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameSHANE SAPUTRA
Location Address425 E SANTA CLARA STSan Jose, CA 95113-1936
Mailing Address425 E Santa Clara StSan Jose, CA 95113-1936
Sole ProprietorNo
Enumeration DateFebruary 7, 2022
NPPES CertifiedFebruary 7, 2022
NPI 1023762259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in CA · 95260284
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

425 E SANTA CLARA ST, San Jose, CA 95113

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Licensed Vocational Nurse
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Social Worker
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Peer Specialist
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Rehabilitation Practitioner
425 E SANTA CLARA ST
SAN JOSE, CA 95113
Registered Nurse (Psychiatric/Mental Health)
425 E SANTA CLARA ST
SAN JOSE, CA 95113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Saputra's NPI number?

The NPI number for Shane Saputra is 1023762259. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Shane Saputra located?

Shane Saputra practices at 425 E Santa Clara St, San Jose, CA 95113. The listed phone number is (669) 245-3429.

What is Shane Saputra's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shane Saputra was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.