SUMMIT BRAIN HEALTH
NPI 1407466477
General Practice in San Jose, CA

Active since August 05, 2020
1762 TECHNOLOGY DR STE 116, SAN JOSE, CA 95110(650) 398-6329 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Nov 22, 2023, Aug 29, 2023 and 2 more (5 updates tracked since 2020).

About Summit Brain Health NPPES

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

SUMMIT BRAIN HEALTH (NPI 1407466477) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Las Vegas and lists Thomas Alan Geraci, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1407466477
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUMMIT BRAIN HEALTH
Location Address1762 TECHNOLOGY DR STE 116San Jose, CA 95110-1307
Mailing Address1762 Technology Dr Ste 116San Jose, CA 95110-1307 · (650) 398-6329
Organization SubpartNo
Authorized OfficialThomas Alan GeraciCredentialing Manager · (650) 398-6329
Enumeration DateAugust 5, 2020
Last NPPES UpdateDecember 5, 20235 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
NPI 1407466477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1762 TECHNOLOGY DR STE 116, San Jose, CA 95110

Secondary Practice Location 1

Location 17220 S Cimarron Rd Ste 110Las Vegas, NV 89113-2157 · Phone (949) 365-6908 · Fax (888) 302-1429

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1762 TECHNOLOGY DR STE 116
SAN JOSE, CA 95110
General Practice
1762 TECHNOLOGY DR STE 116
SAN JOSE, CA 95110

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 Summit Brain Health's NPI number?

The NPI number for Summit Brain Health is 1407466477. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Summit Brain Health located?

Summit Brain Health is located at 1762 Technology Dr Ste 116, San Jose, CA 95110. The listed phone number is (650) 398-6329.

What is Summit Brain Health's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Summit Brain Health was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.