Jay S. Raju M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A335520 Issued in CA

Legal business name

JAY S. RAJU M.D., INC.

Practice address

455 Oconnor Dr
Suite 350
San Jose, CA 95128-1633

Phone

(408) 297-2416

Fax

(408) 297-0216

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jagjit S Raju, M.D.

Title

Physician

Phone

(408) 297-2416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jay S Raju, MD

  • Specialist
  • San Jose, CA
  • NPI 1699706556
  Medicare reassignment

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1609132067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281633",
            "telephone_number": "408-297-2416",
            "fax_number": "408-297-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281633",
            "telephone_number": "408-297-2416",
            "fax_number": "408-297-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. RAJU M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "JAGJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-297-2416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A335520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Ervin Agustin Javier, LCSW
• Kimberly Nicole Javier, PHD
• Sacha Villaruel Javier, BSW
• Jay Choi Dental Corporation
• Jay K. Baldwin D.D.S., Inc.
• Jay the Eye Doctor Optometric Corporation
• Smitha Jayaprakash
• Vivek Jayaraman, DO
• Jayne Marsh LMFT
• Karli Michele Jayne

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.