Active NPI
Gopika Gangupantula, MD
- Family Medicine Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A81025
- Practice address
- 1213 Coffee Rd Ste D
Modesto, CA 95355-4229 - Phone
- (209) 497-4677
- Fax
- (209) 300-7172
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A81025 | CA | Primary |
| Diabetology (Family Medicine) Physician | 207QD0401X | A81025 | CA |
Addresses
Primary practice location
1213 Coffee Rd Ste D
Modesto, CA 95355-4229
Mailing address
1213 Coffee Rd Ste D
Modesto, CA 95355-4229
Phone (209) 497-4677
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
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1213 Coffee Rd
Suite D
Modesto, CA 95355-4229
Phone (209) 497-4677
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81025 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| County of Stanislaus | Current | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
1524 McHenry Ave
Ste 300
Modesto, CA 95350
Phone (209) 527-0615
1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- valleydiabetesobesity.gopikagangupantula@137137.advancedmd-direct.com
Organizations & group practices 6
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.
-
dba Stanislaus County Health Services Agency Turlock Medical Office
- Clinic/Center
- Turlock, CA
- NPI 1831394998
-
dba Valley Diabetes & Obesity
- Family Medicine Physician
- Modesto, CA
- NPI 1306388087
-
dba Stanislaus County Health Services Agency
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1629094891
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1902765993
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Care at Home
- Home Health Agency
- Salida, CA
- NPI 1972876506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1245318138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 COFFEE RD STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554229",
"telephone_number": "209-497-4677",
"fax_number": "209-300-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 COFFEE RD STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554229",
"telephone_number": "209-497-4677",
"fax_number": "209-300-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGUPANTULA",
"first_name": "GOPIKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A81025",
"primary": true
},
{
"code": "207QD0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Diabetology",
"state": "CA",
"license": "A81025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.