Individual provider Active NPI

Tripty Manoj Gandhi, MD

  • Family Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1700829512
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60781 Issued in CA
Practice address
1080 Scott Blvd
Suite 5
Santa Clara, CA 95050-5237
Phone
(408) 247-8100
Fax
(408) 247-8112
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A60781 CA Primary

Addresses

Primary practice location

1080 Scott Blvd
Suite 5
Santa Clara, CA 95050-5237

Mailing address

1080 Scott Blvd
Suite 5
Santa Clara, CA 95050-5237
Phone (408) 247-8100

Other identifiers 1

IdentifierTypeStateIssuer
A60781OtherCALICENSE

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
I20100128000366 CA Practitioner - Family Practice 5890837801 Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1080 Scott Blvd
Santa Clara, CA 95050-5237
Phone (408) 247-8100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Medical Group Inc Family Medicine Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tripty.gandhi.1@9585.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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1700829512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SCOTT BLVD",
            "address_2": "SUITE 5",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505237",
            "telephone_number": "408-247-8100",
            "fax_number": "408-247-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SCOTT BLVD",
            "address_2": "SUITE 5",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505237",
            "telephone_number": "408-247-8100",
            "fax_number": "408-247-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "TRIPTY",
        "middle_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A60781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.