Organization Active NPI

Puja Thakkar, D.O., Medical Corporation

Doing business as Golden Gate Sleep Center

  • Sleep Medicine (Internal Medicine) Physician
  • Danville, CA
National Provider Identifier
1902345747
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20A12339 Issued in CA
Legal business name
PUJA THAKKAR, D.O., MEDICAL CORPORATION
Doing business as
Golden Gate Sleep Center
Practice address
400 El Cerro Blvd
Suite 107
Danville, CA 94526-1731
Phone
(925) 820-4472
Fax
(925) 820-2650
NPI assigned
Feb 13, 2017
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Puja Anil Thakkar, D.O.NPI 1558665562
Title
President
Phone
(925) 820-4472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20A12339 CA Primary

Addresses

Primary practice location

400 El Cerro Blvd
Suite 107
Danville, CA 94526-1731

Mailing address

400 El Cerro Blvd
Suite 107
Danville, CA 94526-1731
Phone (925) 820-4472

Other names 1

  • Golden Gate Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170710000239 CA Part B Supplier - Clinic/Group Practice 8325317209 Receives reassigned benefits from 7 practitioners
Practice locations: Fremont, CA; San Ramon, CA

National Provider Directory

National Provider Directory

Locations

400 El Cerro Blvd
Ste 107
Danville, CA 94526
Phone (925) 820-4472

39055 Hastings St
Ste 106
Fremont, CA 94538
Phone (510) 789-3368

2222 Camino Ramon
San Ramon, CA 94583
Phone (925) 820-4472

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1902345747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EL CERRO BLVD",
            "address_2": "SUITE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261731",
            "telephone_number": "925-820-4472",
            "fax_number": "925-820-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EL CERRO BLVD",
            "address_2": "SUITE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261731",
            "telephone_number": "925-820-4472",
            "fax_number": "925-820-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUJA THAKKAR, D.O., MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "PUJA",
        "authorized_official_middle_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-820-4472",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A12339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.