Sujata S Gawande, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101555 Issued in CA

Practice address

2060 Aborn Rd Ste 125
San Jose, CA 95121

Phone

(669) 400-5000

NPI assigned

Jul 12, 2017

Last updated

Jun 13, 2018By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: sgawande330457@direct.ochin.org
• Direct secure messaging: sujata.gawande@sjffcc.eclinicaldirectplus.com

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1538681325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BAYLOR ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873211",
            "telephone_number": "203-979-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD STE 125",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "669-400-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWANDE",
        "first_name": "SUJATA",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Gavia Jr.
• Noemi Gavia
• Lauren Livermore Gavin, MFT
• Evelyn Gaviola, PT
• Marley Gaviola
• Maria Margarita Gaytan Guadian
• Briana Gaytan
• Imelda Leticia Gaytan
• Katya Gazit
• Tamba Frederick Gbondo

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.