Julian Street Medical & Mental Health Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

JULIAN STREET MEDICAL & MENTAL HEALTH SERVICES LLC

Practice address

804 E Julian St
San Jose, CA 95112-1876

Phone

(408) 975-6270

Fax

(408) 975-6277

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Stan Sharma, PHD

Title

Manager

Phone

(661) 254-6630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1225454523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121876",
            "telephone_number": "408-975-6270",
            "fax_number": "408-975-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN STREET MEDICAL & MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-254-6630",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Lee Silva Juco, DPT
• Karie Marie Judd, RADT
• Dyron J. Jue, MD
• Charlyne Julao, D.O.
• Julia Morcos, DDS Inc.
• Catherine Julian-Caday, M.A.
• Priscilla Julian, MS, OTR/L
• Julie Solutions LLC
• Julie T. Chen, MD, Inc.
• Jun Yi Acupuncture

• Methadone Clinic in San Jose, CA
• Providers in San Jose, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.