SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR
NPI 1124174297
Psychiatry & Neurology - Psychiatry in San Jose, CA

Q: What is San Jose Pacific Neurology Cntr Prof Cor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since January 25, 2007

200 JOSE FIGUERES AVE STE 200, SAN JOSE, CA 95116(408) 347-1600(408) 347-0600 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About San Jose Pacific Neurology Cntr Prof Cor NPPES

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

SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR (NPI 1124174297) is a healthcare organization registered as a psychiatry in San Jose, California and active in the NPI registry since January 2007. The organization lists Raj Gupta, M.d, as its authorized official.

NPPES Registry Identity

NPI1124174297

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSAN JOSE PACIFIC NEUROLOGY CNTR PROF COR

Location Address200 JOSE FIGUERES AVE STE 200San Jose, CA 95116-1586

Mailing Address200 Jose Figueres Ave Ste 200San Jose, CA 95116-1586 · (408) 347-1600 · Fax (408) 347-0600

Phone(408) 347-1600

Fax(408) 347-0600

Organization SubpartNo

Authorized OfficialRaj GuptaM.d · (408) 347-1600

Enumeration DateJanuary 25, 2007

Last NPPES UpdateMarch 10, 2020

NPPES CertifiedMarch 10, 2020

✔ NPI 1124174297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A93854

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

200 JOSE FIGUERES AVE STE 200, San Jose, CA 95116

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Jose Pacific Neurology Cntr Prof Cor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to San Jose Pacific Neurology Cntr Prof Cor, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Raj Gupta, M.D

Neurology

NPI 1831126689

200 JOSE FIGUERES AVE STE 200
San Jose, CA 95116

(408) 347-1600

✔ PECOS✔ Accepts MedicareSame address

Akshay Shah, M.D.

Neurology

NPI 1891095964

200 JOSE FIGUERES AVE, SUITE 200
San Jose, CA 95116

(408) 347-1600

✔ PECOS✔ Accepts MedicareSame address

Prachi Dalal, NP

Nurse Practitioner

NPI 1134813900

225 N JACKSON AVE
San Jose, CA 95116

(408) 259-5000

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Jose Pacific Neurology Cntr Prof Cor's NPI number?

The NPI number for San Jose Pacific Neurology Cntr Prof Cor is 1124174297. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is San Jose Pacific Neurology Cntr Prof Cor located?

San Jose Pacific Neurology Cntr Prof Cor is located at 200 Jose Figueres Ave Ste 200, San Jose, CA 95116. The listed phone number is (408) 347-1600.

What is San Jose Pacific Neurology Cntr Prof Cor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is San Jose Pacific Neurology Cntr Prof Cor enrolled in Medicare?

Yes. San Jose Pacific Neurology Cntr Prof Cor is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Jose Pacific Neurology Cntr Prof Cor?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to San Jose Pacific Neurology Cntr Prof Cor, in Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Jose Pacific Neurology Cntr Prof Cor was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.