Individual provider Active NPI

Arthur Reyno Floreza, MD

  • Child & Adolescent Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1083750186
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A76400 Issued in CA
Practice address
650 S Bascom Ave
San Jose, CA 95128-2601
Phone
(408) 793-5870
Fax
(408) 275-6716
NPI assigned
Jan 29, 2007
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A76400 CA Primary

Addresses

Primary practice location

650 S Bascom Ave
San Jose, CA 95128-2601

Mailing address

650 S Bascom Ave
San Jose, CA 95128-2601
Phone (408) 793-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76400CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Child & Adolescent Psychiatry CurrentSince Feb 11, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Feb 11, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1215 1st St
Gilroy, CA 95020
Phone (408) 686-2360

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

4525 Union Ave
San Jose, CA 95124
Phone (408) 248-2510

650 S Bascom Ave
San Jose, CA 95128
Phone (408) 283-8555

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

840 Guadalupe Pkwy
San Jose, CA 95110
Phone (408) 299-3166

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1083750186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282601",
            "telephone_number": "408-793-5870",
            "fax_number": "408-275-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282601",
            "telephone_number": "408-793-5870",
            "fax_number": "408-275-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZA",
        "first_name": "ARTHUR",
        "middle_name": "REYNO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A76400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.