Individual provider Active NPI

Tanya Jain Gupta, MD, MS

  • Neurology Physician
  • San Ramon, CA
National Provider Identifier
1871024554
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A157264 Issued in CA
Practice address
111 Deerwood Rd Ste 305
San Ramon, CA 94583-1530
Phone
(925) 938-5252
Fax
(925) 938-1343
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A157264 CA Primary

Addresses

Primary practice location

111 Deerwood Rd Ste 305
San Ramon, CA 94583-1530

Mailing address

111 Deerwood Rd
Ste 305
San Ramon, CA 94583-1530
Phone (925) 938-5252

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
I20210608003759 CA Practitioner - Neurology 0840690194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Neurology IncGroup PAC ID 4587929815, 7 clinicians

Practice addresses (Care Compare)

111 Deerwood Rd
Suite 305
San Ramon, CA 94583-1530
Phone (925) 938-5252

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157264CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Neurology, Inc. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

111 Deerwood Rd
Ste 305
San Ramon, CA 94583
Phone (279) 204-1134

675 Ygnacio Valley Rd
Ste A102
Walnut Creek, CA 94596
Phone (925) 414-5226

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1871024554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "STE 305",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831530",
            "telephone_number": "925-938-5252",
            "fax_number": "925-938-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 305",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831530",
            "telephone_number": "925-938-5252",
            "fax_number": "925-938-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "TANYA",
        "middle_name": "JAIN",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A157264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.