Active NPI
Rajat Bansil
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Jose, CA
National Provider Identifier
1134520489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 69199
- Practice address
- 2400 Moorpark Ave
Ste 316
San Jose, CA 95128-2631 - Phone
- (408) 885-4690
- Fax
- (408) 885-3640
- NPI assigned
- Sep 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 69199 | CA | Primary |
Addresses
Primary practice location
2400 Moorpark Ave
Ste 316
San Jose, CA 95128-2631
Mailing address
2400 Moorpark Ave
Ste 316
San Jose, CA 95128-2631
Phone (408) 885-4690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69199 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1134520489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE",
"address_2": "STE 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282631",
"telephone_number": "408-885-4690",
"fax_number": "408-885-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE",
"address_2": "STE 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282631",
"telephone_number": "408-885-4690",
"fax_number": "408-885-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSIL",
"first_name": "RAJAT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "69199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.