# SUMMIT BRAIN HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407466477
- **Authorized official:** DR. THOMAS ALAN GERACI DO (CREDENTIALING MANAGER)
- **Authorized official phone:** (650) 398-6329

## Contact information

- **Practice address:** 1762 TECHNOLOGY DR STE 116, SAN JOSE, CA 95110-1307
- **Practice address phone:** (650) 398-6329
- **Mailing address:** 1762 TECHNOLOGY DR STE 116, SAN JOSE, CA 95110-1307
- **Mailing address phone:** (650) 398-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 12/05/2023