Leena K Gupta, MD
Individual provider Active NPI Internal Medicine Physician · Mariposa, CA
NPI 1811901580 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1811901580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A98907 (CA)
- Practice address
- 5189 Hospital Rd
Mariposa, CA 95338-9524 - Phone
- (209) 966-3631
- Fax
- (209) 966-3776
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bass Medical Group
Practice addresses (Care Compare)
175 N Jackson Ave
Suite 207
San Jose, CA 95116-1909
Phone (408) 666-0392
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512
2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (408) 666-0392
Hospital & facility affiliations
- St Rose Hospital
- Alta Bates Summit Medical Center - Alta Bates Camp
- Alta Bates Summit Medical Center
- Kindred Hospital - San Francisco Bay Area
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070530000274 | CA | Practitioner - Internal Medicine | 6901899384 |
Reassigns benefits to 5 organizations Practice locations: San Jose, CA; San Leandro, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26851 | MS | MD | Neurocritical Care Physician |
Practice roles (14 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erx Plus Professional Corporation | Current |
Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients | |
| Desert Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Erx Hospitalist Group PC | Current |
Accepting new patients | |
| Leena Gupta MD | Internal Medicine | Current |
Accepting new patients |
| Advanced Sleep Diagnostics, Inc. | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Washington, PC | Internal Medicine | Past | Accepting new patients |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Gaurav Datta MD Inc | Internal Medicine | Past | Accepting new patients |
| Erx Plus Professional Corporation | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
175 N Jackson Ave
Ste 200
San Jose, CA 95116
Phone (408) 384-7160
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
2000 N Classen Blvd
Ste 1200
Oklahoma City, OK 73106
Phone (866) 488-4558
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- lgupta189757@ehr.johnmuirhealth.com
- lgupta133537@ummc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 26851 | MS | |
| Internal Medicine Physician | 207R00000X | MD00042605 | WA | |
| Internal Medicine Physician | 207R00000X | A98907 | CA | Yes |
Addresses
Primary practice location
5189 Hospital Rd
Mariposa, CA 95338-9524
Mailing address
4945 Bridgeview LN
San Jose, CA 95138-2702
Phone (408) 666-0392
Other practice location 1
4945 Bridgeview Ln
San Jose, CA 95138-2702
Phone (503) 473-2457
Other practice location 2
2500 N State St
Jackson, MS 39216
Phone (408) 666-0392
Other providers in Mariposa, CA
- Tiffany Louise Gibson
- Jennifer Jean Gleason
- David W. Goger
- Cody Guenthart
- Martina Roshani Gunaratnam
- Sarah Guthrie
- Julia Ralena Gutierrez
- Daniel S. Haines
- Maureen Cusick Hanna
- Chanpreet Hans
All providers in Mariposa, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.