Organization Active NPI

Brain Wellness Center PC

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Jose, CA
National Provider Identifier
1316794688
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
BRAIN WELLNESS CENTER PC
Practice address
3031 Tisch Way Ste 309
San Jose, CA 95128-2531
Phone
(408) 740-3100
Fax
(925) 837-1112
NPI assigned
May 3, 2024
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Ali Hashemian
Title
Manager
Phone
(925) 837-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU Primary

Addresses

Primary practice location

3031 Tisch Way Ste 309
San Jose, CA 95128-2531

Mailing address

3031 Tisch Way Ste 309
San Jose, CA 95128-2531
Phone (408) 740-3100

National Provider Directory

National Provider Directory

Locations

3031 Tisch Way
Ste 309
San Jose, CA 95128
Phone (408) 740-3100

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1316794688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY STE 309",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282531",
            "telephone_number": "408-740-3100",
            "fax_number": "925-837-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY STE 309",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282531",
            "telephone_number": "408-740-3100",
            "fax_number": "925-837-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "HASHEMIAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-837-1100"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "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 May 3, 2024; 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.