Active NPI
Deepa Japra, MD
- Emergency Medicine Physician
- Fairfield, CA
National Provider Identifier
1093022196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301096973
- Practice address
- 1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552 - Phone
- (707) 646-5000
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301096973 | MI | Primary |
Addresses
Primary practice location
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Mailing address
5000 Hopyard Rd Ste 100
Pleasanton, CA 94588-3146
Phone (925) 251-6948
Other practice location 1
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 993-2529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301096973 | Other | MI | BOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE |
| 5315046350 | Other | MI | BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096973 | MI | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093022196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HOPYARD RD STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883146",
"telephone_number": "925-251-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 B GALE WILSON BLVD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333552",
"telephone_number": "707-646-5000"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-993-2529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAPRA",
"first_name": "DEEPA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301096973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE",
"identifier": "4301096973",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE",
"identifier": "5315046350",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.