Active NPI
Golden Gate Psychiatry Associates
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1861900367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GOLDEN GATE PSYCHIATRY ASSOCIATES
- Practice address
- 2570 N 1St St Ste 216
San Jose, CA 95131-1035 - Phone
- (408) 474-0904
- Fax
- (408) 474-0929
- NPI assigned
- Jan 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nagaraj Uddhandi, MD
- Title
- MD
- Phone
- (408) 474-0904
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2570 N 1St St Ste 216
San Jose, CA 95131-1035
Mailing address
604 N 9TH St
San Jose, CA 95112-3250
Phone (408) 474-0904
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942456108 | Other | CA | PSYCHIATRY |
| Y4740890 | Other | CA | DRIVERS LICENSE |
National Provider Directory
National Provider DirectoryLocations
2570 N 1st St
Ste 216
San Jose, CA 95131
Phone (408) 474-0904
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942456108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1861900367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N 9TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123250",
"telephone_number": "408-474-0904",
"fax_number": "408-474-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 N 1ST ST STE 216",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311035",
"telephone_number": "408-474-0904",
"fax_number": "408-474-0929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN GATE PSYCHIATRY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-18",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "UDDHANDI",
"authorized_official_first_name": "NAGARAJ",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "408-474-0904",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRY",
"identifier": "1942456108",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "Y4740890",
"state": "CA"
}
],
"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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.