Gopika Gangupantula, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A81025 Issued in CA

Legal business name

GOPIKA GANGUPANTULA, MD, INC.

Practice address

1213 Coffee Rd Ste D
Modesto, CA 95355-4229

Phone

(209) 497-4677

Fax

(209) 300-7172

NPI assigned

Nov 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Sachin Gangupantula

Title

Director of Operations

Phone

(209) 497-4677

Specialties & licenses 2

Addresses

Other names 1

• Valley Diabetes & Obesity Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gopika Gangupantula, MD

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1245318138
  Medicare reassignment
• Shahla Deba Khan, R.D.

  • Registered Dietitian
  • Palo Alto, CA
  • NPI 1548513567
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1306388087",
    "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": {
        "organization_name": "GOPIKA GANGUPANTULA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "GANGUPANTULA",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "209-497-4677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81025",
            "primary": true
        },
        {
            "code": "207QD0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Diabetology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Diabetes & Obesity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Diabetes & Obesity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macey Goodrich
• Beth Goodridge, RD
• Kim Dale Goodrum, R.N.
• Violet Goods
• Roger Goorley
• Mary Jean Goralka, MFT
• Grace Gordon
• Joseph Lorn Gordon III
• Karen L Gordon, MFT
• Carla Taunes Gorman

• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• 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.
• 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.