Active NPI
Swetha Gurajala, PA
- Medical Physician Assistant
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA58542
- Practice address
- 3448 Mowry Ave
Fremont, CA 94538-1422 - Phone
- (832) 597-7840
- NPI assigned
- Jan 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | PA58542 | CA | Primary |
Addresses
Primary practice location
3448 Mowry Ave
Fremont, CA 94538-1422
Mailing address
3448 Mowry Ave
Fremont, CA 94538-1422
Phone (510) 373-3000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Missouri, Kansas City, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
2340 Clay St
San Francisco, CA 94115-1932
2351 Clay St
San Francisco, CA 94115-1931
3838 California St
San Francisco, CA 94118-1506
601 Duboce Ave
San Francisco, CA 94117-3389
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Ctr-Davies Campus Hosp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58542 | CA | MD | General Practice Dentistry |
| PA58542 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Single Specialty | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Single Specialty | Past | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2340 Clay St
Fl 5
San Francisco, CA 94115
Phone (415) 600-0151
Interoperability endpoints
- sgurajala566274@hisp.ehr.sutterhealth.org
- swetha.gurajala@299395540647940.direct.elationemr.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
Single Specialty
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1124582036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3448 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381422",
"telephone_number": "510-373-3000",
"fax_number": "510-744-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3448 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381422",
"telephone_number": "832-597-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURAJALA",
"first_name": "SWETHA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA58542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.