Sabina Gupta Sud, D.M.D., M.S.

Primary specialty

DentistTaxonomy code 122300000X

License

64213 Issued in CA

Practice address

301 Washington St Ste B
Petaluma, CA 94952-2914

Phone

(707) 658-2320

Fax

(707) 762-5149

NPI assigned

Jun 16, 2009

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sabina Gupta Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1851528939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON ST STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522914",
            "telephone_number": "707-658-2320",
            "fax_number": "707-762-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON ST STE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522914",
            "telephone_number": "707-658-2320",
            "fax_number": "707-762-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA SUD",
        "first_name": "SABINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64213",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABINA",
            "last_name": "GUPTA",
            "prefix": "DR.",
            "credential": "D.M.D., M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Giannella Victoria Guerrero Cardenas
• Maria De Los Angeles Guerrero Chavez
• Jillian Laurel Guevara
• Mikaela Villosillo Guevarra
• Alexis Gumanday
• Cassandra Maria Gurjao
• Clover Emmaline Gutermuth, LM, IBCLC
• Grecia Alicia Gutierrez, B.S
• Matthew Thomas Gutierrez
• Navidad Gutierrez

• Dentist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.