Active NPI
Farah Naz Pathan, MD
- Psychiatry Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C132429
- Practice address
- 455 Silicon Valley Blvd
San Jose, CA 95138-1858 - Phone
- (669) 900-1731
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C132429 | CA | Primary |
| Psychoanalyst | 102L00000X | 036110488 | IL | |
| Specialist | 174400000X | 36-110488 | IL |
Addresses
Primary practice location
455 Silicon Valley Blvd
San Jose, CA 95138-1858
Mailing address
1376 Brookline Loop
Pleasanton, CA 94566-3261
Other practice location 1
4045 Stockdale Hwy
Bakersfield, CA 93309-2021
Phone (661) 735-8860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@precisionpsych.com | PRECISION PSYCHIATRIC SERVICES INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone (408) 819-7310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110488 | IL | MD | Psychoanalyst |
| 36-110488 | IL | MD | Specialist |
| C132429 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Psychiatric Services, a Medical Group | Psychiatry | Current | Accepting new patients |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| SJBH, LLC | Current | Accepting new patients | |
| Precision Psychiatric Services Inc | Current | Accepting new patients |
Locations
4045 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 282-7442
7850 White Ln
#E301
Bakersfield, CA 93309
2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000
5924 Stoneridge Dr
Ste 210
Pleasanton, CA 94588
Phone (925) 223-6157
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
455 Silicon Valley Blvd
San Jose, CA 95138
Phone (408) 819-7310
3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- San Jose, CA
- NPI 1174094064
-
- Psychiatry Physician
- Walnut Creek, CA
- NPI 1184785834
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatric Hospital
- San Jose, CA
- NPI 1508252149
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Psychiatric Hospital
- Napa, CA
- NPI 1326098161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1013102771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 BROOKLINE LOOP",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945663261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SILICON VALLEY BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381858",
"telephone_number": "669-900-1731"
}
],
"practiceLocations": [
{
"address_1": "4045 Stockdale Hwy",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933092021",
"country_code": "US",
"telephone_number": "661-735-8860",
"fax_number": "661-873-4065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATHAN",
"first_name": "FARAH",
"middle_name": "NAZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C132429",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "IL",
"license": "036110488",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "36-110488",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@precisionpsych.com",
"affiliation": "Y",
"affiliationName": "PRECISION PSYCHIATRIC SERVICES INC",
"address_1": "4045 Stockdale Hwy",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933092021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.