Active NPI
Gita Surti
- Family Medicine Physician
- Pleasanton, CA
National Provider Identifier
1578625646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C133662
- Practice address
- 4456 Black Ave Ste 100
Pleasanton, CA 94566-6147 - Phone
- (925) 462-8100
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C133662 | CA | Primary |
Addresses
Primary practice location
4456 Black Ave Ste 100
Pleasanton, CA 94566-6147
Mailing address
PO Box 742244
Los Angeles, CA 90074-2244
Other practice location 1
200 Sanatorium Road
Hagerdorn Psychiatric Hosp-Medical Staff Services
Glen Gardner, NJ 08826-3291
Phone (908) 537-2141
Other practice location 2
200 Sanatorium Road
Hagerdorn Psychiatric Hosp-Medical Staff Services
Glen Gardner, NJ 08826-3291
Phone (908) 537-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C133662 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravinder Singh MD., Inc | Family Medicine | Past | Accepting new patients |
| The Doctor Is in, PA | Family Medicine | Past | Accepting new patients |
| Angelo del Priore DPM | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- gita.surti.1@15887.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1528113909
-
- Foot Surgery Podiatrist
- Morristown, NJ
- NPI 1366627028
-
- Family Medicine Physician
- Clinton, NJ
- NPI 1396854006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578625646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742244",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900742244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4456 BLACK AVE STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666147",
"telephone_number": "925-462-8100"
}
],
"practiceLocations": [
{
"address_1": "200 Sanatorium Road",
"address_2": "Hagerdorn Psychiatric Hosp-Medical Staff Services",
"address_purpose": "LOCATION",
"city": "Glen Gardner",
"state": "NJ",
"postal_code": "088263291",
"country_code": "US",
"telephone_number": "908-537-2141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Sanatorium Road",
"address_2": "Hagerdorn Psychiatric Hosp-Medical Staff Services",
"address_purpose": "LOCATION",
"city": "Glen Gardner",
"state": "NJ",
"postal_code": "088263291",
"country_code": "US",
"telephone_number": "908-537-2141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURTI",
"first_name": "GITA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C133662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
- Sunrise Healthcare, Inc.
- Sunrise Hospice Foundation Inc
- Sunshine Home Health II, Inc. (Sunshine Home Health Care, Inc.)
- Sunshine Hospice and Palliative Care Inc
- Super Star Future Inc
- Sruti Surugucchi, M.D.
- Agnes Susabda, PHD
- Jed M Sussman, PHD
- Sustana Health Supply LLC
- Sutter Bay Medical Foundation (Sutter Pleasanton Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.