Active NPI
James Kelso Gude, MD
- Critical Care Medicine (Internal Medicine) Physician
- Sebastopol, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 00G126260
- Practice address
- 6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269 - Phone
- (707) 824-0882
- NPI assigned
- Apr 19, 2006
- 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 | 00G126270 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 00G126260 | CA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 00G126260 | CA |
Addresses
Primary practice location
6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Mailing address
6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Phone (707) 824-0882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G127260 | Medicaid | CA |
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
- Critical Care (Intensivists)
- Education
- Yale University School of Medicine, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1191 Phelps Ave
Coalinga, CA 93210-9609
Phone (559) 935-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G126270 | CA | MD | Internal Medicine Physician |
| 00G126260 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Offsite Care, Inc | Current | Accepting new patients | |
| Willow Brook Critical Care Medical Group, Inc | Current | Accepting new patients | |
| Aretaeus Telemedicine Inc. | Critical Care Medicine | Current | Accepting new patients |
| North Sonoma County Health Care District | Past | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
730 17th St
Modesto, CA 95354
Phone (209) 248-7700
1310 Commerce St
Ste B
Petaluma, CA 94954
2801 Eureka Way
Redding, CA 96001
Phone (530) 246-9000
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
6800 Palm Ave
Ste K
Sebastopol, CA 95472
75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741
1 Madrone St
Willits, CA 95490
Phone (707) 456-3041
Interoperability endpoints
- jgude16381@hisp.ehr.sutterhealth.org
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Santa Rosa, CA
- NPI 1548490261
-
- Hospitalist Physician
- Glendale, CA
- NPI 1811520224
-
- Hospitalist Physician
- Sebastopol, CA
- NPI 1740488303
-
dba Healdsburg District Hospital
- Skilled Nursing Facility
- Healdsburg, CA
- NPI 1952487159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1235194697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PALM AVE",
"address_2": "SUITE K",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724269",
"telephone_number": "707-824-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 PALM AVE",
"address_2": "SUITE K",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724269",
"telephone_number": "707-824-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDE",
"first_name": "JAMES",
"middle_name": "KELSO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "00G126270",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "00G126260",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "00G126260",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G127260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.