Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lumos Advanced Treatment Center LLC

Organization Psychiatry Physician · NPI 1174384846

Lumos Advanced Treatment Center LLC provides Psychiatry Physician services in San Jose, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2516 Samaritan Dr Ste D
San Jose, CA 95124-4108
Phone: (408) 539-7715
Fax: (408) 402-5116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1174384846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vidwath Kashyap — Business Director · (415) 741-6103
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address2516 Samaritan Dr Ste D, San Jose, CA 95124-4108

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