Healthcare Provider Details

I. General information

NPI: 1578443412
Provider Name (Legal Business Name): GUARANTEED HEALTH MEDICAL GROUP WEST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 AUGUSTINE DR STE 150
SANTA CLARA CA
95054-3032
US

IV. Provider business mailing address

2445 AUGUSTINE DR 150 AND 201
SANTA CLARA CA
95054-3032
US

V. Phone/Fax

Practice location:
  • Phone: 720-434-3556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SINA HAERI
Title or Position: OWNER
Credential: MD
Phone: 410-814-1872