Jai Thao, is a medicare enrolled "Counselor - Mental Health" provider in San Jose, California. His current practice location is
2400 Moorpark Ave Ste 300, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 975-2730.
Jai Thao is licensed to practice in California (license number PSB94024755) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700267721.
Healthcare Provider's Profile
Full Name | Jai Thao |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 2400 Moorpark Ave Ste 300, San Jose, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700267721
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890145890
- Enrollment ID: I20240102003815
Medical Identifiers
Medical identifiers for Jai Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700267721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (California) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | PSB94024755 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jai Thao is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jai Thao, 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730 | Jai Thao, 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730 |
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