Organization Active NPI

Silicon Valley Memory Clinic

  • Specialist
  • Fremont, CA
National Provider Identifier
1740520535
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SILICON VALLEY MEMORY CLINIC
Practice address
2191 Mowry Ave
Suite 500 E
Fremont, CA 94538-1725
Phone
(510) 225-0676
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Puneet ChandakNPI 1043276900
Title
Ceo/President
Phone
(510) 792-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2191 Mowry Ave
Suite 500 E
Fremont, CA 94538-1725

Mailing address

2191 Mowry Ave
Suite 500 E
Fremont, CA 94538-1725
Phone (510) 225-0676

National Provider Directory

National Provider Directory
Tax ID family
Silicon Valley Medical Imaging Inc a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2191 Mowry Ave
Ste 500E
Fremont, CA 94538
Phone (510) 225-0676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1740520535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE",
            "address_2": "SUITE 500 E",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381725",
            "telephone_number": "510-225-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE",
            "address_2": "SUITE 500 E",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381725",
            "telephone_number": "510-225-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY MEMORY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "CHANDAK",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-792-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.