Jagruti P Upadhyay, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45784 Issued in CA

Practice address

39560 Stevenson PL
Suite 117
Fremont, CA 94539-3074

Phone

(510) 797-8100

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of the Pacific Dugoni School of Dentistry, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Dr Srujal H Shah DDS IncGroup PAC ID 4486840634, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr Srujal H Shah DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
  • NPI 1639480973
  Medicare reassignment Care Compare group NPD
• Dr Srujal H Shah DDS Inc

  • Dentist
  • San Ramon, CA
  • NPI 1801286505
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235230186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-797-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-797-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAY",
        "first_name": "JAGRUTI",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bea Patrizia Jeanne Albutra Ungab
• Unitedcare Company Inc
• Universal Hospice Care LLC
• University Healthcare Alliance
• Dennis Setzer Unson, MD
• Anuhya Uppula
• Cindy Urbano
• Peter Alexander Ureno
• Jennifer Uribe Plasencia
• Urvashi Patel Inc

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.