Individual provider Active NPI

Gargi H Upadhyaya, M.D.

  • Medical Oncology Physician
  • Pasadena, CA
National Provider Identifier
1013957190
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A49787 Issued in CA
Practice address
1121 Arden Rd
Pasadena, CA 91106
Phone
(626) 256-4673
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A49787 CA Primary

Addresses

Primary practice location

1121 Arden Rd
Pasadena, CA 91106

Mailing address

1121 Arden Rd
Pasadena, CA 91106-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001181 CA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 3274524715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49787CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Sep 7, 2021 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Sep 7, 2021 Accepting new patients
Southern California Specialty Care, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gargi.upadhyaya@theoncologyinstitute.ikm.direct-ci.com
  • Direct secure messaging: gargi.upadhyayi.p3@direct.scoa.nextgenshare.com
  • Direct secure messaging: gargi.upadhyayamd.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1013957190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ARDEN RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ARDEN RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "626-256-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "GARGI",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A49787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.