Active NPI
Subrato Ghosh, MD
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C132473
- Practice address
- 11 Technology Dr
Irvine, CA 92618-2302 - Phone
- (855) 206-6764
- Fax
- (949) 923-3575
- NPI assigned
- Aug 25, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226537 | NY | |
| Internal Medicine Physician | 207R00000X | C132473 | CA | Primary |
| Hospitalist Physician | 208M00000X | C132473 | CA |
Addresses
Primary practice location
11 Technology Dr
Irvine, CA 92618-2302
Mailing address
11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764
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
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Costa Mesa, CA 92626
Phone (888) 789-9585
3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C132473 | CA | MD | Internal Medicine Physician |
| 226537 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Partners California Medical PC | Current | Accepting new patients | |
| Centers for Family Medicine GP | Internal Medicine | Current | Accepting new patients |
| PMD Medical PC | Internal Medicine | Current | Accepting new patients |
| GN Medical Associates, Inc. | Current | Accepting new patients | |
| Prudential Hospice Care, Inc. | Current | Accepting new patients | |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Elder Medical Services PC | Past | Accepting new patients | |
| Ipc Hospitalist Services of New York, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
13047 Artesia Blvd
Ste C200
Cerritos, CA 90703
Phone (562) 924-1555
495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764
3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
151 N Kraemer Blvd
Ste 100
Placentia, CA 92870
Phone (714) 577-2271
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Costa Mesa, CA
- NPI 1669260493
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
Internal Medicine
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1881495695
-
- Community Based Hospice Care Agency
- Cerritos, CA
- NPI 1720316805
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Geriatric Medicine (Family Medicine) Physician
- Cheektowaga, NY
- NPI 1740388719
-
- Hospitalist Physician
- Buffalo, NY
- NPI 1538424650
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1083607055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TECHNOLOGY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182302",
"telephone_number": "855-206-6764",
"fax_number": "949-923-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 TECHNOLOGY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182302",
"telephone_number": "855-206-6764",
"fax_number": "949-923-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSH",
"first_name": "SUBRATO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226537",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C132473",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C132473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.