MR. VENKATA SIDDARDHA VARMA INDUKURI (NPI# 1104372499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104372499 |
Entity Type | Individual |
Full Name | MR. VENKATA SIDDARDHA VARMA INDUKURI |
Practice Address |
1885 Lundy Ave 223 San Jose CA 95131-1887 |
Mailing Address |
1885 Lundy Ave 223 Sanjose CA 95131-1887 |
Practice Telephone | 4085037960 |
Mailing Telephone | 4085037960 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
1885 LUNDY AVE 223 |
City | SAN JOSE |
State | CA |
Zip Code | 95131-1887 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407845852 | Rashmi S Deshmukh | Psychiatry & Neurology | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2005-10-18 |
1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
1265065791 | Ann Gonzalez | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-12 |
1306401401 | Humberto Pacheco Del Real | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2019-05-03 |
1407326598 | Natally Malagon Gonzalez | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2018-11-30 |
1982179479 | Conrad Martin Solarez Jr. | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2018-10-10 |
1174057582 | Ashley Trillo | Counselor | 1885 Lundy Ave, 223, San Jose, CA 95131-1887 | 2017-04-12 |
1417497801 | Darline Conyers | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2017-03-03 |
1164964797 | Manveen Chahal | Counselor | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2016-11-14 |
1104372044 | Caitlyn Porell | Social Worker | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2016-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
Find all providers in zip 95131 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
Find all providers in SAN JOSE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.