Individual provider Active NPI

Farah Naz Pathan, MD

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1013102771
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C132429 Issued in CA
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

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190131001152 CA Practitioner - Psychiatry 2163312984 Reassigns benefits to 4 organizations

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
Precision Psychiatric Services IncGroup PAC ID 9436491420, 19 clinicians

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

LicenseStateTypeSpecialty
036110488ILMDPsychoanalyst
36-110488ILMDSpecialist
C132429CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Feb 8, 2020 Accepting new patients
Department of State Hospitals CurrentSince Oct 15, 2018 Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Oct 15, 2018 Accepting new patients
SJBH, LLC CurrentSince Jun 1, 2021 Accepting new patients
Precision Psychiatric Services Inc CurrentSince Oct 2, 2024 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.

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

Verify at the official NPI Registry.