MEDICARE: AMIT D. DESAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	181736	CA

General Provider Information

NPI Number	:	1558627182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT D. DESAI MD

Provider Business Mailing Address
First Line	:	398 ORTEGA AVE UNIT 145
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-6213
Country	:	US
Telephone Number	:	858-361-2113
Fax Number	:	858-357-9747

Provider Business Practice Location Address
First Line	:	441 N CENTRAL AVE STE 6
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-1428
Country	:	US
Telephone Number	:	858-361-2113
Fax Number	:	858-357-9747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	09/17/2025

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