Gupta Etwaru, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83765 Issued in CA

Practice address

395 Civic Dr
G
Pleasant Hill, CA 94523-1979

Phone

(925) 817-0496

Fax

(925) 954-6939

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Lomelino Valencia, O.D.

  • Optometrist
  • Antioch, CA
  • NPI 1457697799
  Medicare reassignment

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.

• Etwaru Eye Center

  • Ophthalmology Physician
  • Pleasant Hill, CA
  • NPI 1780045658
  Medicare reassignment NPD Authorized official
• Etwaru Eye Center

  • Ophthalmology Physician
  • Martinez, CA
  • NPI 1891228706
  NPD Authorized official
• Contra Costa County

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment
• Contra Costa County

  • General Acute Care Hospital
  • Martinez, CA
  • NPI 1386719086
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1790733913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 CIVIC DR",
            "address_2": "G",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231979",
            "telephone_number": "925-817-0496",
            "fax_number": "925-954-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 CIVIC DR",
            "address_2": "G",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231979",
            "telephone_number": "925-817-0496",
            "fax_number": "925-954-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETWARU",
        "first_name": "GUPTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Lily Eshragh, C.N.S.
• Celina Espinoza
• Maria Rheba Estante, LMFT, LPCC
• Jessica Ann Etchevers, M.S.
• Etwaru Eye Center
• Eva Bender Dental Corporation
• Kim Evans, CMT, LE, MA
• Evoke Spinal Care
• Blanca Estela Fajardo-Cardenas
• Alisa Fallon, PH.D.

• Ophthalmology Physician in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.