DR. GARY JAMES REZOWALLI


Address: 175 Bernal Rd Ste 140, San Jose, CA 95119-1343
Phone: 4089726454

DR. GARY JAMES REZOWALLI (NPI# 1770645939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770645939
Entity Type Individual
Full Name DR. GARY JAMES REZOWALLI
Credential PH.D.
Practice Address 175 Bernal Rd Ste 140
San Jose
CA 95119-1343
Practice Telephone 4089726454
Practice Fax Number 4089726494
Mailing Telephone 4089726454
Mailing Fax Number 4089726494
Enumeration Date 2006-12-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 13273 CA Behavioral Health & Social Service Providers

Office Location

Street Address 175 BERNAL RD STE 140
City SAN JOSE
State CA
Zip Code 95119-1343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215096052 Andrew Charles Berger Psychologist 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2006-12-07
1033266796 Jackie Ann Ebbert Social Worker 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2007-01-04
1407913759 Michael Anthony Curry Social Worker 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2007-01-03

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861023020 Widyasita Sawyer Psychologist 1189 Curtner Ave, San Jose, CA 95125-3618 2020-01-27
1861030033 Maria-christina Stewart Psychologist 3141 Stevens Creek Blvd # 40167, San Jose, CA 95117-1141 2019-12-18
1306404504 Palak Dipak Kothari Psychologist 20 S 2nd St Unit 425, San Jose, CA 95113-2532 2019-06-03
1942762299 Dr. Danessa Mayo, Phd Psychologist 1190 Lincoln Ave Ste 7, San Jose, CA 95125-3036 2019-04-04
1104362433 Samantha Kountz-edwards Psychologist 1588 Hallbrook Dr, San Jose, CA 95118-1611 2017-01-10
1306243530 Kell Fujimoto Psychologist 2845 Moorpark Ave, Suite 203, San Jose, CA 95128-3158 2014-12-03
1174964092 Brandi Marche Brooks Psychologist 1866 Half Pence Way, San Jose, CA 95132 2013-07-08
1306181284 Marion Marsha Wadley Psychologist 1443 Lupton Ave, San Jose, CA 95125-3847 2012-12-04
1639433709 Janice Jaishika Raj Psychologist 2400 Moorpark Ave., #300, San Jose, CA 95128 2012-07-03
1114296803 Amanda M Walters Psychologist 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 2011-12-24
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Competitor

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City SAN JOSE
Zip Code 95119

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Dataset Information

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.

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