SHARADHA RAGHAVAN (NPI# 1720110539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720110539 |
| Entity Type | Individual |
| Full Name | SHARADHA RAGHAVAN |
| Credential | MD |
| Practice Address |
841 Blossom Hill Rd #207 San Jose CA 95123 |
| Practice Telephone | 4086293997 |
| Practice Fax Number | 4086293580 |
| Mailing Telephone | 4086293997 |
| Mailing Fax Number | 4086293580 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A47856 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BR2313601 | 01 |
| Street Address |
841 BLOSSOM HILL RD #207 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044876 | Duke Vincent Fisher | Psychiatry & Neurology | 841 Blossom Hill Rd, Suite 209, San Jose, CA 95123-2704 | 2006-05-25 |
| 1740638055 | Rebecca M Picone | Marriage & Family Therapist | 841 Blossom Hill Rd, Suite 201, San Jose, CA 95123-2704 | 2016-05-26 |
| 1063783066 | Carol Lynn Williams | Registered Nurse | 841 Blossom Hill Rd, Suite 209, San Jose, CA 95123-2704 | 2012-01-23 |
| 1700154572 | Joshua Martin Moreali | Physical Therapist | 841 Blossom Hill Rd, Suite 103, San Jose, CA 95123-2704 | 2011-12-08 |
| 1558505750 | Thinh Duy Mai | Psychiatry & Neurology | 841 Blossom Hill Rd, Ste 209, San Jose, CA 95123-2704 | 2009-05-01 |
| 1811156334 | Terence Lewue Wade | Chiropractor | 841 Blossom Hill Rd, Ste. #107, San Jose, CA 95123-2704 | 2008-06-09 |
| 1558530220 | Regina Gray | Dentist | 841 Blossom Hill Rd, Suite 213, San Jose, CA 95123-2704 | 2008-02-26 |
| 1952570715 | Olga Belova | Dentist | 841 Blossom Hill Rd, Ste 213, San Jose, CA 95123-2704 | 2008-02-26 |
| 1730382987 | Kourosh Langroudi Ghafourpour | Dentist | 841 Blossom Hill Rd, Suite 202, San Jose, CA 95123-2704 | 2007-06-06 |
| 1518095702 | Noriko Murakami Garcia | Marriage & Family Therapist | 841 Blossom Hill Rd, Suite 201, San Jose, CA 95123-2704 | 2007-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
| 1255954145 | Strive Psychiatric Services Inc. | Psychiatry & Neurology | 2570 N 1st St Fl 2, San Jose, CA 95131-1035 | 2020-05-26 |
| 1891293007 | Norman Reynolds | Psychiatry & Neurology | 1730 Hamilton Ave, San Jose, CA 95125-5424 | 2018-01-23 |
| 1861900367 | Golden Gate Psychiatry Associates | Psychiatry & Neurology | 2570 N 1st St Ste 216, San Jose, CA 95131-1035 | 2018-01-18 |
| 1114314846 | Jennifer Atienza Duyanen | Psychiatry & Neurology | 2150 N 1st St Ste 650, San Jose, CA 95131-2031 | 2015-04-21 |
| 1245596329 | Honor Hsin | Psychiatry & Neurology | 5755 Cottle Rd Bldg 24, San Jose, CA 95123-3640 | 2012-04-03 |
| 1124397708 | Beeta Verma | Psychiatry & Neurology | 6120 Hellyer Ave, San Jose, CA 95138-1065 | 2011-12-28 |
| 1093006983 | Yang Xu | Psychiatry & Neurology | 1530 The Alameda, Suite 315, San Jose, CA 95126-2303 | 2011-04-26 |
| 1326277567 | Samer Salmo | Psychiatry & Neurology | 1530 The Alameda Ste 315, San Jose, CA 95126-2303 | 2009-07-09 |
| 1881821791 | Suzanna Lynn Freerksen | Psychiatry & Neurology | 913 Willow St Ste 103, San Jose, CA 95125-2380 | 2009-06-18 |
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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.