Pratima Gupta, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

21021 Issued in CA

Practice address

100 Oak St RM F3
San Jose, CA 95110-2817

Phone

(408) 715-3088

Fax

(408) 924-0401

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bay Area House Call Physicians

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1609001700
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1487921656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 FIFE WAY",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAK ST RM F3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102817",
            "telephone_number": "408-715-3088",
            "fax_number": "408-924-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PRATIMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "21021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Gupta, MD
• Mihika Gupta
• Nidhi Gupta, MD
• Nupur Gupta, DDS
• Parinita Gupta
• Punam Gupta, M.D
• Raj Gupta, M.D
• Reena Gupta, DDS
• Shefali Gupta
• Shikha Gupta

• Gerontology Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.