Healthcare Provider Details

I. General information

NPI: 1538080148
Provider Name (Legal Business Name): DOCTUSUSA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 LAGO DE BRACCIANO
SAN JOSE CA
95148-3313
US

IV. Provider business mailing address

2010 EL CAMINO REAL # 1351
SANTA CLARA CA
95050-4051
US

V. Phone/Fax

Practice location:
  • Phone: 408-625-7152
  • Fax:
Mailing address:
  • Phone: 408-625-7152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. DEEPTI GADDIPATI
Title or Position: CFO
Credential:
Phone: 408-625-7152