Healthcare Provider Details

I. General information

NPI: 1336640580
Provider Name (Legal Business Name): TARU VARMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 RIVEROAKS PARKWAY
SAN JOSE CA
95134
US

IV. Provider business mailing address

1094 CAGGIANO DR
SAN JOSE CA
95120
US

V. Phone/Fax

Practice location:
  • Phone: 408-914-7478
  • Fax:
Mailing address:
  • Phone: 408-426-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: