Organization Active NPI

Amritha Parthasarathy DO Professional Corporation

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1407688567
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
AMRITHA PARTHASARATHY DO PROFESSIONAL CORPORATION
Practice address
2512 Samaritan CT Ste S
San Jose, CA 95124-4002
Phone
(408) 657-5620
Fax
(408) 657-5282
NPI assigned
Aug 16, 2024
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Mrs. Maryann Martinez
Title
Office Manager
Phone
(408) 356-7841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2512 Samaritan CT Ste S
San Jose, CA 95124-4002

Mailing address

2516 Samaritan Dr Ste E
San Jose, CA 95124-4108
Phone (408) 356-2164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919000606 CA Part B Supplier - Clinic/Group Practice 4880135706 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2512 Samaritan Ct
Ste S
San Jose, CA 95124
Phone (408) 358-8834

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1407688567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR STE E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-356-2164",
            "fax_number": "408-356-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT STE S",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-657-5620",
            "fax_number": "408-657-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRITHA PARTHASARATHY DO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-356-7841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "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 Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.