Individual provider Active NPI

Deepti Gupta, M.D.

  • Obstetrics & Gynecology Physician
  • Berkeley, CA
National Provider Identifier
1811275399
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1013856 Issued in CA
Practice address
2500 Milvia St
Berkeley, CA 94704-2636
Phone
(510) 204-5600
Fax
(510) 506-7722
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 262503 NY
Obstetrics & Gynecology Physician 207V00000X 1013856 CA Primary

Addresses

Primary practice location

2500 Milvia St
Berkeley, CA 94704-2636

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 204-5600

Other practice location 1

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3440

Other practice location 2

2970 Hilltop Mall Rd Ste 304
Richmond, CA 94806-5274
Phone (510) 204-8090

Other practice location 3

200 W 57TH St
Ste 1300
New York, NY 10019-3225
Phone (212) 523-6333

Other practice location 4

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

Other identifiers 1

IdentifierTypeStateIssuer
C164431OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110906000099 NY Practitioner - Obstetrics/Gynecology 3779753546 Reassigns benefits to 4 organizations
I20201113001709 CA Practitioner - Obstetrics/Gynecology 3779753546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

20101 Lake Chabot Rd
FL 4
Castro Valley, CA 94546-5305
Phone (510) 886-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013856CAMDObstetrics & Gynecology Physician
262503NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jul 9, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Dec 15, 2015 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Aug 8, 2011 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2020 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Aug 8, 2011 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jul 9, 2019 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Jul 6, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 15, 2015 Accepting new patients
Sutter East Bay Medical Foundation Obstetrics & Gynecology Past Accepting new patients

Locations (25 of 32)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

3075 Adeline St
Ste 270
Berkeley, CA 94703
Phone (510) 204-5600

3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 486-3415

20101 Lake Chabot Rd
Fl 4
Castro Valley, CA 94546
Phone (510) 204-3410

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

350 30th St
Ste 444
Oakland, CA 94609
Phone (510) 204-5600

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2970 Hilltop Mall Rd
Ste 304
San Pablo, CA 94806
Phone (510) 204-8090

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

Interoperability endpoints

  • Direct secure messaging: dgupta554645@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1811275399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-204-5600",
            "fax_number": "510-506-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MILVIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042636",
            "telephone_number": "510-204-5600",
            "fax_number": "510-506-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20101 Lake Chabot Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465305",
            "country_code": "US",
            "telephone_number": "510-886-3440",
            "fax_number": "510-506-7729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2970 Hilltop Mall Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948065274",
            "country_code": "US",
            "telephone_number": "510-204-8090",
            "fax_number": "510-506-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W 57TH ST",
            "address_2": "STE 1300",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193225",
            "country_code": "US",
            "telephone_number": "212-523-6333",
            "fax_number": "212-523-5784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Camino Encinas",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633304",
            "country_code": "US",
            "telephone_number": "510-204-8180",
            "fax_number": "510-506-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DEEPTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "262503",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "1013856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C164431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.