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

Jeremiah Gacusan

Individual provider Licensed Psychiatric Technician · NPI 1679987036

Jeremiah Gacusan is a Licensed Psychiatric Technician in Campbell, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

251 Llewellyn Ave
Campbell, CA 95008-1940
Phone: (916) 388-6372
Fax: (916) 779-2558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 29197 (CA)

Record details

NPI number1679987036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2014
Last updated in NPPESJune 13, 2014
Mailing address1335 Old Abbey Pl, San Jose, CA 95132-2527

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