Organization Active NPI

West Coast Gero-Psychiatry Inc

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1396149845
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WEST COAST GERO-PSYCHIATRY INC
Practice address
5125 E Paddington CT
Unit C
Orange, CA 92867-1652
Phone
(908) 907-0761
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Sarjak Mehta, MD
Title
Director
Phone
(908) 907-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5125 E Paddington CT
Unit C
Orange, CA 92867-1652

Mailing address

5125 E Paddington CT
Unit C
Orange, CA 92867-1652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1396149845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 E PADDINGTON CT",
            "address_2": "UNIT C",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 E PADDINGTON CT",
            "address_2": "UNIT C",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671652",
            "telephone_number": "908-907-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST GERO-PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SARJAK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-907-0761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.