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

Bay Area Ketamine Center, Inc

Organization Psychiatry Physician · NPI 1194432799

Bay Area Ketamine Center, Inc is a Psychiatry Physician in Los Altos, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

746 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone: (415) 529-4559
Fax: (855) 967-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1194432799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Wender — Owner · (415) 529-4559
NPI enumeratedNovember 2, 2022
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address746 Altos Oaks Dr, Los Altos, CA 94024-5401

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