Individual provider Active NPI

Samita Gandhi, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1821308149
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A112368 Issued in CA
Practice address
600 Bercut Dr
Sacramento, CA 95811-0131
Phone
(916) 440-1500
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A112368 CA Primary

Addresses

Primary practice location

600 Bercut Dr
Sacramento, CA 95811-0131

Mailing address

3455 La Playa Dr
Davis, CA 95618-6756

Other practice location 1

3455 La Playa Dr
Davis, CA 95618-6756
Phone (916) 834-1904

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
I20111004000181 CA Practitioner - Psychiatry 8224200837 Reassigns benefits to 1 organization
Practice locations: Auburn, CA; Sacramento, CA; Davis, CA; Citrus Heights, CA; Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SacramentoGroup PAC ID 0345231247, 45 clinicians

Practice addresses (Care Compare)

1400 A St
BLDG a
Sacramento, CA 95811-0612
Phone (916) 440-1500

630 Bercut Dr
Suite C
Sacramento, CA 95811-0110
Phone (916) 441-3819

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento CurrentSince Jan 10, 2015 Accepting new patients
Consumers Self Help Center CurrentSince Jan 10, 2015 Accepting new patients
County of Sacramento Current Accepting new patients

Locations

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1821308149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LA PLAYA DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BERCUT DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110131",
            "telephone_number": "916-440-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 La Playa Dr",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956186756",
            "country_code": "US",
            "telephone_number": "916-834-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SAMITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.