Individual provider Active NPI

Karthik Parasuraman Ramgopal, DO

  • Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1174899348
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A13106 Issued in CA
Practice address
2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541
Phone
(559) 499-6400
NPI assigned
Apr 1, 2012
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A13106 CA Primary

Addresses

Primary practice location

2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541

Mailing address

2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541

Other names 1

  • Dr. Karthik Parasuraman Sethuram Former name

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
I20150326002302 CA Practitioner - Psychiatry 3678890837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGTC GroupGroup PAC ID 0749795102, 22 clinicians

Practice addresses (Care Compare)

4850 Union Ave
San Jose, CA 95124-5156
Phone (800) 913-2615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13016CAMDOptometrist
20A13106CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Mar 20, 2022 Accepting new patients
County of Fresno CurrentSince Jan 27, 2015 Accepting new patients
County of Fresno CurrentSince Jan 27, 2015 Accepting new patients
LGTC Group Psychiatry CurrentSince May 20, 2025 Accepting new patients
Coastal Turning Point Past Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
WK Medical Group Psychiatry PastSince Aug 7, 2021 Accepting new patients

Locations

1575 Old Bayshore Hwy
Ste 201
Burlingame, CA 94010
Phone (408) 542-0399

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

2235 Douglas Blvd
Ste 500
Roseville, CA 95661
Phone (916) 625-6878

508 Gibson Dr
Ste 140
Roseville, CA 95678
Phone (916) 694-0555

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1174899348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541",
            "telephone_number": "559-499-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMGOPAL",
        "first_name": "KARTHIK",
        "middle_name": "PARASURAMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A13106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARTHIK",
            "last_name": "SETHURAM",
            "middle_name": "PARASURAMAN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.