Active NPI
Prabhas Gupta, MD
- Internal Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A139676
- Practice address
- 1201 Alhambra Blvd Ste 400
Sacramento, CA 95816 - Phone
- (916) 733-5090
- Fax
- (916) 733-9815
- NPI assigned
- Apr 11, 2013
- Last updated
- Oct 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | A139676 | CA | Primary |
Addresses
Primary practice location
1201 Alhambra Blvd Ste 400
Sacramento, CA 95816
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 400-0701
Other practice location 1
507 Main Street
Johnson City, NY 13790
Phone (607) 763-8008
Other practice location 2
507 Main Street
Johnson City, NY 13790
Phone (607) 763-8008
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
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
2 Medical Plaza Dr
Roseville, CA 95661-3042
2800 L St
Sacramento, CA 95816-5616
3100 Douglas Blvd
Roseville, CA 95661-3866
Phone (916) 774-8500
4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378
Hospital & facility affiliations
- Sutter Care at Home
- Sutter Medical Center, Sacramento
- Sutter Roseville Medical Center
- Sutter Amador Hospital
- Sutter Auburn Faith Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 28 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139676 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Regional Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Genadij Sienkiewicz MD, PC | Past | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
39400 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 248-3000
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
1201 Alhambra Blvd
Ste 400
Sacramento, CA 95816
Phone (916) 733-5090
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- pgupta465392@hisp.ehr.sutterhealth.org
Organizations & group practices 9
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 Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Family Medicine Physician
- Fairfield, CA
- NPI 1558388504
Internal Medicine
-
- Dermatology Physician
- Johnson City, NY
- NPI 1700073038
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Auburn Faith Hospital
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
dba Sutter Roseville Medical Center
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
dba Sutter Amador Hospital
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
-
dba Sutter Care at Home
- Home Health Agency
- Sacramento, CA
- NPI 1649209412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1275976037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-400-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ALHAMBRA BLVD STE 400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-733-5090",
"fax_number": "916-733-9815"
}
],
"practiceLocations": [
{
"address_1": "507 Main Street",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "NY",
"postal_code": "13790",
"country_code": "US",
"telephone_number": "607-763-8008",
"fax_number": "607-763-8019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "507 Main Street",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "NY",
"postal_code": "13790",
"country_code": "US",
"telephone_number": "607-763-8008",
"fax_number": "607-763-8019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "PRABHAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A139676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.