ALLAIN EDRICK GANCHUA FRANCISCO MD
NPI 1316561384
Psychiatry & Neurology - Psychiatry in San Jose, CA

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2023, Jun 24, 2021, Jun 4, 2020 (3 updates tracked since 2020).

About Allain Edrick Ganchua Francisco Md NPPES

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

ALLAIN EDRICK GANCHUA FRANCISCO MD (NPI 1316561384) is an individual psychiatry provider in San Jose, California, licensed in California (A178113) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316561384
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameALLAIN EDRICK GANCHUA FRANCISCOCredential: MD
Location Address751 S BASCOM AVESan Jose, CA 95128-2699
Mailing Address723 Camino Plz # 224San Bruno, CA 94066-3401 · (909) 896-1896
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 4, 2020
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1316561384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A178113✔ Licensed in HI · MDR-7919
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.
751 S BASCOM AVE, San Jose, CA 95128

Secondary Practice Locations 3

Location 11356 Lusitana St Fl 4Honolulu, HI 96813-2409 · Phone (808) 586-7428
Location 21101 Van Ness Ave Ste 1120San Francisco, CA 94109-6919 · Phone (415) 600-3510
Location 39990 County Farm RdRiverside, CA 92503-3542 · Phone (951) 358-4700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allain Edrick Ganchua Francisco Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284000928
PECOS Enrollment IDI20221020000924
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Allain Edrick Francisco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
751 S. BASCOM AVENUE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Community/Behavioral Health
2415 UNIVERSITY AVE STE 301
East Palo Alto, CA 94303
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • 597 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
Psychiatry
2020 MILVIA ST STE 440
Berkeley, CA 94704
  • Reassigned Medicare billing, California enrollment
  • 116 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy for crisis, first hour 90839
Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.
48 services43 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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.

Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
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 Allain Edrick Francisco's NPI number?

The NPI number for Allain Edrick Francisco is 1316561384. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Allain Edrick Francisco located?

Allain Edrick Francisco practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Allain Edrick Francisco's specialty?

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

Is Allain Edrick Francisco enrolled in Medicare?

Yes. Allain Edrick Francisco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Allain Edrick Francisco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allain Edrick Francisco reassigns Medicare benefits to 5 organizations: County Of Santa Clara (San Jose, CA), Sutter Bay Medical Foundation (Palo Alto, CA), San Mateo County (East Palo Alto, CA), Alameda Health System (Newark, CA) and Bay Psychiatric Associates (Berkeley, CA). Each 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 Allain Edrick Francisco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Allain Edrick Francisco was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.