Healthcare Provider Details

I. General information

NPI: 1629783311
Provider Name (Legal Business Name): RASHID JERMAINE ROJAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N WHITE RD
SAN JOSE CA
95127-1439
US

IV. Provider business mailing address

PO BOX 21735
SAN JOSE CA
95151-1735
US

V. Phone/Fax

Practice location:
  • Phone: 408-259-0760
  • Fax: 408-642-6052
Mailing address:
  • Phone: 669-226-9618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: