MEDICARE: PIEDMONT INTERVENTIONAL PSYCHIATRY PC

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

General Provider Information

NPI Number	:	1912728767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIEDMONT INTERVENTIONAL PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	323 HAYES ST APT H
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-3663
Country	:	US
Telephone Number	:	831-512-3090
Fax Number	:	800-657-5259

Provider Business Practice Location Address
First Line	:	675 N 1ST ST PH 3
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95112-5112
Country	:	US
Telephone Number	:	831-512-3090
Fax Number	:	800-657-5259

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	AKASH JAGGI
Credential	:	M.D.
Telephone Number	:	248-770-1937

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	10/03/2025

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