Individual provider Active NPI

Pooja Gupta, M.D

  • Obstetrics & Gynecology Physician
  • Mountain View, CA
National Provider Identifier
1336330786
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD441857 Issued in PA
Practice address
2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187
Phone
(650) 396-8110
Fax
(650) 336-7359
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD441857 PA Primary

Addresses

Primary practice location

2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187

Mailing address

2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187
Phone (650) 396-8110

Other practice location 1

495 Thomas Jones Way
Suite 210 Main Line Health Center
Exton, PA 19341-2553
Phone (484) 565-8550

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000967 CA Practitioner - Obstetrics/Gynecology 8426226747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Azad Medical CorporationGroup PAC ID 4587978945, 4 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 670
Mountain View, CA 94040-4187
Phone (650) 396-8110

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Main Line Healthcare Obstetrics & Gynecology Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1336330786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 670",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404187",
            "telephone_number": "650-396-8110",
            "fax_number": "650-336-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 670",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404187",
            "telephone_number": "650-396-8110",
            "fax_number": "650-336-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Thomas Jones Way",
            "address_2": "Suite 210 Main Line Health Center",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412553",
            "country_code": "US",
            "telephone_number": "484-565-8550",
            "fax_number": "610-280-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD441857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.