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

Goutham Ganesan, MD/PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467987677

Goutham Ganesan, MD/PHD is a Psychiatry in San Jose, California. Graduated from University of California, Irvine, California College of Medicine in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
9
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA, NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Jose, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A171590 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 226934 (NC)

Record details

NPI number1467987677
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorYes
NPI enumeratedApril 25, 2017
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Jose