Individual provider Active NPI

Sanitha Babu Gupta, NP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1952004020
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95197644 Issued in CA
Practice address
4000 Innovator Dr Unit 11103
Sacramento, CA 95834-3884
Phone
(518) 602-3602
NPI assigned
Mar 27, 2023
Last updated
Apr 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95197644 CA Primary

Addresses

Primary practice location

4000 Innovator Dr Unit 11103
Sacramento, CA 95834-3884

Mailing address

4000 Innovator Dr Unit 11103
Sacramento, CA 95834-3884
Phone (518) 602-3602

Other names 1

  • Sanitha Babu Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910002562 CA Practitioner - Nurse Practitioner 4284174871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sam M. Khouri, MD, a Professional Medical Corporation CurrentSince Sep 4, 2024 Accepting new patients

Locations

1580 Creekside Dr
Ste 260
Folsom, CA 95630
Phone (916) 984-7870

Interoperability endpoints

  • Direct secure messaging: sgupta173366@hpmg.direct-ci.net

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, 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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1952004020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 INNOVATOR DR UNIT 11103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343884",
            "telephone_number": "518-602-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 INNOVATOR DR UNIT 11103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343884",
            "telephone_number": "518-602-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANITHA",
        "middle_name": "BABU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95197644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANITHA",
            "last_name": "BABU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.