Active NPI
Deepak Gupta, M.D.
- Plastic Surgery Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A114745
- Practice address
- 751 S Bascom Ave Ste 4Q261
San Jose, CA 95128-2604 - Phone
- (408) 885-5315
- NPI assigned
- May 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A114745 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave Ste 4Q261
San Jose, CA 95128-2604
Mailing address
751 S Bascom Ave Ste 4Q261
San Jose, CA 95128-2604
Phone (408) 885-5315
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- George Washington University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114745 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Plastic Surgery | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| County of Santa Clara | Plastic Surgery | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
751 S Bascom Ave
Bldg Q
San Jose, CA 95128
Phone (408) 885-6770
751 S Bascom Ave
Ste 4Q261
San Jose, CA 95128
Phone (408) 885-5315
751 S Bascom Ave
Fl 4
San Jose, CA 95128
Phone (408) 885-5105
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
300 Pasteur Dr
Rm HC435
Stanford, CA 94305
Phone (650) 498-7570
Interoperability endpoints
- dgupta10694@santaclaravalley.direct-ci.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1326141862
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1043445950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE STE 4Q261",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE STE 4Q261",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A114745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.