Healthcare Provider Details

I. General information

NPI: 1497448989
Provider Name (Legal Business Name): JAYSON CURAMMENG RRT, SDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOSPITAL PKWY
SAN JOSE CA
95119-1106
US

IV. Provider business mailing address

275 HOSPITAL PARK WAY
SAN JOSE CA
95123
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-3315
  • Fax:
Mailing address:
  • Phone: 408-942-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number43172
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: