Healthcare Provider Details

I. General information

NPI: 1003340993
Provider Name (Legal Business Name): RAJBIR SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAJBIR KAUR SAMRA

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 GUADALUPE PKWY RM 238
SAN JOSE CA
95110-1714
US

IV. Provider business mailing address

51 PARK ESSEX PL
SAN JOSE CA
95136-2517
US

V. Phone/Fax

Practice location:
  • Phone: 408-299-3166
  • Fax: 408-971-2651
Mailing address:
  • Phone: 408-963-9452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW133390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: