Active NPI
Priyanka Deo
- Pharmacist
- San Jose, CA
National Provider Identifier
1366092090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63890
- Practice address
- 751 S Bascom Ave RM 4M051
San Jose, CA 95128-2604 - Phone
- (408) 885-2820
- NPI assigned
- Sep 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63890 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave RM 4M051
San Jose, CA 95128-2604
Mailing address
751 S Bascom Ave RM 4M051
San Jose, CA 95128-2604
Phone (408) 885-2820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63890 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1366092090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE RM 4M051",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE RM 4M051",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEO",
"first_name": "PRIYANKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-15",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
- Deaunne Denmark, MD, PHD
- Dennis J. Widman, DDS, Inc.
- Dennis Salcido, M.D., a Professional Corporation
- Diana Dawn Denniston
- Dentists of Saratoga, Prof. Corp.
- Julienne Andrea Ramos Deocares
- Department of Alcohol and Drug Services
- Department of Drugs and Alcohol Santa Clara Co
- Sharareh Derakhshandeh, PA
- Claudia E Deras
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.