Individual provider Active NPI

Deepashree Gupta, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
National Provider Identifier
1679773253
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C154338 Issued in CA
Practice address
200 Med Plaza
365,420,120
Los Angeles, CA 90024-0001
Phone
(805) 494-6920
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007016872 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2012020207 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C154338 CA Primary

Addresses

Primary practice location

200 Med Plaza
365,420,120
Los Angeles, CA 90024-0001

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8713

Other practice location 1

3660 Vista Ave
Doctor's Office Building Room 204
Saint Louis, MO 63110-2540
Phone (314) 977-6157

Other practice location 2

3660 Vista Ave
Doctor's Office Building Room 204
Saint Louis, MO 63110-2540
Phone (314) 977-6157

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
I20180523001608 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 1153579958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Moody CT
Suite 200
Thousand Oaks, CA 91360-6082
Phone (805) 418-3500

1250 La Venta Dr
Suite 207
Westlake Village, CA 91361-3766
Phone (805) 494-6920

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

6633 Telephone Rd
Ventura, CA 93003-5569

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007016872MOMDInternal Medicine Physician
C154338CAMDEndocrinology, Diabetes & Metabolism Physician
2012020207MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

26585 Agoura Rd
Ste 310
Calabasas, CA 91302
Phone (818) 880-0080

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

1250 La Venta Dr
Ste 101A
Westlake Village, CA 91361
Phone (805) 494-6920

1250 La Venta Dr
Ste 207
Westlake Vlg, CA 91361
Phone (805) 494-6920

1250 La Venta Dr
Ste 211
Westlake Vlg, CA 91361
Phone (805) 494-6920

Interoperability endpoints

  • Direct secure messaging: dgupta637575@direct.uclahealth.org

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 2

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1679773253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED PLAZA",
            "address_2": "365,420,120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240001",
            "telephone_number": "805-494-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Vista Ave",
            "address_2": "Doctor's Office Building Room 204",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102540",
            "country_code": "US",
            "telephone_number": "314-977-6157",
            "fax_number": "314-977-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Vista Ave",
            "address_2": "Doctor's Office Building Room 204",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102540",
            "country_code": "US",
            "telephone_number": "314-977-6157",
            "fax_number": "314-977-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DEEPASHREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007016872",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2012020207",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C154338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.