Organization Active NPI

Luminous Pathways Corporation

  • Behavior Analyst
  • San Ramon, CA
National Provider Identifier
1770233447
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LUMINOUS PATHWAYS CORPORATION
Practice address
2809 Caramoor LN
San Ramon, CA 94582-4668
Phone
(925) 640-0797
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Venkat Gandham
Title
Ceo
Phone
(925) 640-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2809 Caramoor LN
San Ramon, CA 94582-4668

Mailing address

2809 Caramoor LN
San Ramon, CA 94582-4668
Phone (925) 640-0797

National Provider Directory

National Provider Directory

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1770233447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 CARAMOOR LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824668",
            "telephone_number": "925-640-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 CARAMOOR LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824668",
            "telephone_number": "925-640-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS PATHWAYS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "GANDHAM",
        "authorized_official_first_name": "VENKAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-640-0797"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.