Anu C Perumattam, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

21834 Issued in CA

Practice address

150 W Hedding St
Mental Health
San Jose, CA 95110-1706

Phone

(408) 230-1410

NPI assigned

Jul 2, 2013

Last updated

Jul 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anu V Kuriakose Former name

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1306286661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W HEDDING ST",
            "address_2": "MENTAL HEALTH",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101706",
            "telephone_number": "408-230-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HEDDING ST",
            "address_2": "MENTAL HEALTH",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101706",
            "telephone_number": "408-230-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUMATTAM",
        "first_name": "ANU",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21834",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "3776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANU",
            "last_name": "KURIAKOSE",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Jane Perry, PT
• Jonathan Persa
• Ashley D Persaud
• Ruby Personius
• Lakisha N Persons
• Lauren Pescador
• Audrey Grace Pesek, ASW
• Saloni Peshkar-Kulkarni, MD
• Diana Pesqueira, APCC
• Doris Pesqueira

• Psychiatric/Mental Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.