Organization Active NPI

Segal Indianer Psychiatric Group

  • Psychiatry Physician
  • Los Gatos, CA
National Provider Identifier
1306920145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C39242 Issued in CA
Legal business name
SEGAL INDIANER PSYCHIATRIC GROUP
Practice address
250 Blossom Hill Road
Suite 101
Los Gatos, CA 95032-4420
Phone
(408) 395-1441
Fax
(408) 395-1441
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Perry Roy Segal, MD
Title
President
Phone
(408) 395-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X C39242 CA Primary

Addresses

Primary practice location

250 Blossom Hill Road
Suite 101
Los Gatos, CA 95032-4420

Mailing address

250 Blossom Hill Road
Suite 101
Los Gatos, CA 95032-4420
Phone (408) 395-1441

Other identifiers 1

IdentifierTypeStateIssuer
00C392420MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306920145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM HILL ROAD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-395-1441",
            "fax_number": "408-395-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM HILL ROAD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-395-1441",
            "fax_number": "408-395-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGAL INDIANER PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-395-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C39242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C392420",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.