Summit Brain Health

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUMMIT BRAIN HEALTH

Practice address

1762 Technology Dr Ste 116
San Jose, CA 95110-1307

Phone

(650) 398-6329

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Alan Geraci, DONPI 1952357741

Title

Credentialing Manager

Phone

(650) 398-6329

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Thomas Geraci, DO

  • General Practice Physician
  • San Jose, CA
  • NPI 1952357741

  Emergency Medicine

  NPD Authorized official

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1407466477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 TECHNOLOGY DR STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101307",
            "telephone_number": "650-398-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 TECHNOLOGY DR STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101307",
            "telephone_number": "650-398-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 S Cimarron Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132157",
            "country_code": "US",
            "telephone_number": "949-365-6908",
            "fax_number": "888-302-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BRAIN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "GERACI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "650-398-6329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Dawn Summers, M.A. BCBA
• Joyce Rich Summers, NP
• Kathryn Summers
• Michael Wayne Summers, PA-C
• Summit Behavioral Consulting LLC
• Summit Estate Recovery Centers LLC
• Summit Eye Surgeons Incorporated
• Summit Therapeutic Services
• Summus Health Clinic, Inc.
• Summus Health Group

• General Practice Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.