DR. RAJAT BANSIL (NPI# 1134520489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134520489 |
| Entity Type | Individual |
| Full Name | DR. RAJAT BANSIL |
| Practice Address |
2400 Moorpark Ave Ste 316 San Jose CA 95128-2631 |
| Practice Telephone | 4088854690 |
| Practice Fax Number | 4088853640 |
| Mailing Telephone | 4088854690 |
| Mailing Fax Number | 4088853640 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
69199 | CA | Pharmacy Service Providers |
| Street Address |
2400 MOORPARK AVE STE 316 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030867 | Melissa Clarice Komrosky | Nurse Practitioner | 2400 Moorpark Ave, Suite 100, San Jose, CA 95128-2631 | 2005-08-19 |
| 1114567146 | Mahnoor Rehman | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2020-01-07 |
| 1821640103 | Gloria Pham | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2019-07-16 |
| 1053976159 | Victor Tran | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2019-05-03 |
| 1346765468 | Flora Ma | Psychologist | 2400 Moorpark Ave, Ste 300, San Jose, CA 95128 | 2017-08-09 |
| 1457876021 | Kimyoeuth Yuon | Counselor | 2400 Moorpark Ave, Ste 300, San Jose, CA 95128 | 2017-08-04 |
| 1205369220 | Chinpang Leung | Counselor | 2400 Moorpark Ave, Ste300, San Jose, CA 95128-2631 | 2017-04-06 |
| 1205372828 | Alexandra Mendoza | Counselor | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2017-01-07 |
| 1124563077 | Crystal Lyn Romero | Interpreter | 2400 Moorpark Ave, San Jose, CA 95128-2631 | 2017-01-02 |
| 1407390313 | April Sangco | Registered Nurse | 2400 Moorpark Ave, 300, San Jose, CA 95128-2631 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531726 | Maryana Arsanious | Pharmacist | 1530 Woodmeadow Ct, San Jose, CA 95131-3715 | 2014-05-29 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| 1871841452 | Linna Chan | Pharmacist | 751 South Bascom Ave., Department of Inpatient Pharmacy, San Jose, CA 95128-2604 | 2012-08-29 |
| 1255699047 | Hanh Nguyen Tran | Pharmacist | 2758 Trovata Ct, San Jose, CA 95135-1258 | 2012-04-30 |
| 1962653741 | Folashade Anike Naku | Pharmacist | 1167 S King Rd, San Jose, CA 95122-2144 | 2008-10-09 |
| 1285852251 | Xuan Cung | Pharmacist | 2480 N 1st St, Suite 200, San Jose, CA 95131-1020 | 2007-04-23 |
| 1306445861 | Susan Peera | Pharmacist | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2020-10-25 |
| 1235754698 | Michael Wong | Pharmacist | 151 W Mission St, San Jose, CA 95110-1713 | 2020-06-11 |
| 1316561137 | Sophie Nguyen | Pharmacist | 2101 Alexian Dr Ste D, San Jose, CA 95116-1901 | 2020-06-08 |
| 1023659448 | Linda Lien Tran | Pharmacist | 225 N Jackson Ave, Pharmacy Department, San Jose, CA 95116 | 2019-10-07 |
| 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.