LUMOS ADVANCED TREATMENT CENTER PC
NPI 1568353449
Psychiatry & Neurology - Psychiatry in San Jose, CA

Q: What is Lumos Advanced Treatment Center PC's NPI number?

The NPI number for Lumos Advanced Treatment Center PC is 1568353449. It was assigned to this organization in the NPPES registry on July 10, 2025.

Q: What is Lumos Advanced Treatment Center PC's specialty?

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

Active since July 10, 2025

2516 SAMARITAN DR STE D, SAN JOSE, CA 95124(669) 271-8717 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, Jul 10, 2025 (2 updates tracked since 2025).

On this page

About Lumos Advanced Treatment Center Pc NPPES

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

LUMOS ADVANCED TREATMENT CENTER PC (NPI 1568353449) is a healthcare organization registered as a psychiatry in San Jose, California and active in the NPI registry since July 2025. The organization lists Sarbani Maitra, Owner, as its authorized official.

NPPES Registry Identity

NPI1568353449

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameLUMOS ADVANCED TREATMENT CENTER PC

Location Address2516 SAMARITAN DR STE DSan Jose, CA 95124-4108

Mailing Address16320 Alexander CtMonte Sereno, CA 95030-5204 · (669) 271-8717

Phone(669) 271-8717

Organization SubpartNo

Authorized OfficialSarbani MaitraOwner · (669) 271-8717

Enumeration DateJuly 10, 2025

Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1568353449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

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.

2516 SAMARITAN DR STE D, San Jose, CA 95124

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)

Lumos Advanced Treatment Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lumos Advanced Treatment Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sarbani Maitra, M.D.

Psychiatry

NPI 1134360647

1234 EMPIRE ST
Fairfield, CA 94533

(707) 439-7830

✔ PECOS69 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 Lumos Advanced Treatment Center PC's NPI number?

The NPI number for Lumos Advanced Treatment Center PC is 1568353449. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Lumos Advanced Treatment Center PC located?

Lumos Advanced Treatment Center PC is located at 2516 Samaritan Dr Ste D, San Jose, CA 95124. The listed phone number is (669) 271-8717.

What is Lumos Advanced Treatment Center PC's specialty?

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

Is Lumos Advanced Treatment Center PC enrolled in Medicare?

Yes. Lumos Advanced Treatment Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumos Advanced Treatment Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Lumos Advanced Treatment Center PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lumos Advanced Treatment Center PC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.