Provider Demographics
NPI:1225164908
Name:NARVAEZ, JENNIFER JOYCE (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JOYCE
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 E SANTA CLARA ST
Mailing Address - Street 2:COUNTY OF SANTA CLARA, DOWNTOWN MENTAL HEALTH CENTER
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-2244
Mailing Address - Country:US
Mailing Address - Phone:408-792-2100
Mailing Address - Fax:408-298-0192
Practice Address - Street 1:1075 E SANTA CLARA ST
Practice Address - Street 2:COUNTY OF SANTA CLARA, DOWNTOWN MENTAL HEALTH CENTER
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-2244
Practice Address - Country:US
Practice Address - Phone:408-792-2100
Practice Address - Fax:408-298-0192
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-2212672084P0800X
CAA1124122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DL081SMedicare PIN
CADL081ZMedicare PIN
CADL081TMedicare PIN
CADL081WMedicare PIN
CADL081XMedicare PIN
DL081YMedicare PIN
CADL081UMedicare PIN
CADL081VMedicare PIN