CHETAN K POTU
NPI 1104575661
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Chetan K Potu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHETAN K POTU (NPI 1104575661) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2022.
NPPES Registry Identity
Specialties & Licenses
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Chetan Potu's NPI number?
The NPI number for Chetan Potu is 1104575661. It was assigned to this individual provider in the NPPES registry on March 22, 2022.
Where is Chetan Potu located?
Chetan Potu practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (631) 689-8333.
What is Chetan Potu's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Chetan Potu was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chetan K Potu · NPI 1104575661
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1104575661 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2699
- **Phone:** (631) 689-8333
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104575661) · Data from the CMS NPPES public registry.