Active NPI
John Pina, PH.D.
- Clinical Psychologist
- Los Gatos, CA
National Provider Identifier
1164866497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 19683
- Practice address
- 401 Alberto Way Ste D
Los Gatos, CA 95032-5404 - Phone
- (408) 505-7833
- Fax
- (509) 271-0893
- NPI assigned
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 19683 | CA | Primary |
Addresses
Primary practice location
401 Alberto Way Ste D
Los Gatos, CA 95032-5404
Mailing address
401 Alberto Way Ste D
Los Gatos, CA 95032-5404
Phone (408) 505-7833
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19683 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1164866497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ALBERTO WAY STE D",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325404",
"telephone_number": "408-505-7833",
"fax_number": "509-271-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ALBERTO WAY STE D",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950325404",
"telephone_number": "408-505-7833",
"fax_number": "509-271-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "19683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.