Individual provider Active NPI

Deepti Gupta, MD

  • Family Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1952554917
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110895 Issued in CA
Practice address
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone
(805) 582-4000
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A110895 CA Primary

Addresses

Primary practice location

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871

Mailing address

800 S Victoria Ave # L4640
Ventura, CA 93009-0003
Phone (805) 677-5146

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address deepti.gupta@ventura.cernerdirect.com Direct

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
I20110628000600 CA Practitioner - Family PracticePractitioner - General Practice 5890973572 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110895CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Ventura Medical Group, Inc. Family Medicine Current Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince May 11, 2014 Accepting new patients

Locations

612 Spring Rd
Bldg A
Moorpark, CA 93021
Phone (805) 523-5400

1980 Sequoia Ave
Simi Valley, CA 93063
Phone (805) 306-0070

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: deepti.gupta.p7@direct.regal.nextgenshare.com
  • Direct secure messaging: deepti.gupta@ventura.cernerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1952554917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # L4640",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930090003",
            "telephone_number": "805-677-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652871",
            "telephone_number": "805-582-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DEEPTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deepti.gupta@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "1227 E Los Angeles Ave",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.