Healthcare Provider Details

I. General information

NPI: 1720990963
Provider Name (Legal Business Name): SHUCRI T JANINI JR. DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SOQUEL WAY
SUNNYVALE CA
94085-4102
US

IV. Provider business mailing address

559 FIR AVE
SUNNYVALE CA
94085-3724
US

V. Phone/Fax

Practice location:
  • Phone: 408-736-7600
  • Fax: 408-736-7604
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number311059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: