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 is a Psychiatry Physician 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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