Active NPI
San Jose Integrative Wellness Center Inc
- Psychiatry Physician
- Los Gatos, CA
National Provider Identifier
1902280712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A91711
- Legal business name
- SAN JOSE INTEGRATIVE WELLNESS CENTER INC
- Practice address
- 825 Pollard Rd Ste 108
Los Gatos, CA 95032-1435 - Phone
- (408) 357-0105
- Fax
- (408) 357-0105
- NPI assigned
- Jul 13, 2015
- 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
- Manuj Kumar Nangia, MD
- Title
- Owner
- Phone
- (408) 357-0105
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 | A91711 | CA | Primary |
Addresses
Primary practice location
825 Pollard Rd Ste 108
Los Gatos, CA 95032-1435
Mailing address
825 Pollard Rd Ste 108
Los Gatos, CA 95032-1435
Phone (408) 357-0105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
825 Pollard Rd
Ste 108
Los Gatos, CA 95032
Phone (408) 357-0105
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Los Gatos, CA
- NPI 1417748955
-
- Psychiatry Physician
- Los Gatos, CA
- NPI 1437283405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1902280712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 POLLARD RD STE 108",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321435",
"telephone_number": "408-357-0105",
"fax_number": "408-357-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 POLLARD RD STE 108",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321435",
"telephone_number": "408-357-0105",
"fax_number": "408-357-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JOSE INTEGRATIVE WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-13",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "NANGIA",
"authorized_official_first_name": "MANUJ",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-357-0105",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A91711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.