| Janice Jaishika Raj, | |
|
2400 Moorpark Ave., #300, San Jose, CA 95128 | |
| (510) 896-9601 | |
| Not Available |
| Full Name | Janice Jaishika Raj |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 2400 Moorpark Ave., #300, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639433709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 27451 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Jaishika Raj, 2400 Moorpark Ave., #300, San Jose, CA 95128 Ph: (510) 896-9601 | Janice Jaishika Raj, 2400 Moorpark Ave., #300, San Jose, CA 95128 Ph: (510) 896-9601 |
Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276 |
Courtney Kerr, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 800-913-2615 Fax: 408-559-3158 |
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445 |
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230 |
Dr. Victoria Wu, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 760 Newhall Dr # 1022, San Jose, CA 95110 Phone: 669-319-8657 |
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730 |
Maritza Aguilar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-626-3405 |