Healthcare Provider Details

I. General information

NPI: 1376469080
Provider Name (Legal Business Name): CHITHRA NATARAJAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1054 S DE ANZA BLVD # 105
SAN JOSE CA
95129-3553
US

IV. Provider business mailing address

1054 S DE ANZA BLVD # 105
SAN JOSE CA
95129-3553
US

V. Phone/Fax

Practice location:
  • Phone: 408-320-5139
  • Fax: 415-805-2504
Mailing address:
  • Phone: 408-320-5139
  • Fax: 415-805-2504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: