=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578411120
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLMINDS MEDICAL GROUP WEST PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2026
-----------------------------------------------------
Last Update Date | 03/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 325 S 1ST ST # 200
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95113-2835
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-513-4353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2261 MARKET ST STE 83931
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94114-1612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-513-4353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS ADMINISTRATOR
-----------------------------------------------------
Name | MISS SHREE SHAH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 415-513-4353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------