Active NPI
Brain Wellness Center PC
- Behavioral Neurology & Neuropsychiatry Physician
- San Jose, CA
National Provider Identifier
1316794688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.