Sandhya R Gudapati, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A46239 Issued in CA

Practice address

140 E. Commonwealth Ave.
Suite 101
Fullerton, CA 92832-3616

Phone

(714) 773-4111

Fax

(714) 773-4222

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

University of California, Geffen School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sunny Hills Behavioral Health IncGroup PAC ID 0244299139, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sunny Hills Behavioral Health, Inc.

  • Psychiatry Physician
  • Fullerton, CA
  • NPI 1467551200
  Medicare reassignment Care Compare group Authorized official
• Sunny Hills Medical Center Inc.

  • Urgent Care Clinic/Center
  • Fullerton, CA
  • NPI 1588346571
  NPD Authorized official
• Sunny Hills Medical Center Inc.

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1750008017
  NPD Authorized official
• Sunny Hills Behavioral Health, Inc.

  • Urgent Care Clinic/Center
  • Fullerton, CA
  • NPI 1063151462
  NPD (past) Authorized official
• Sunny Hills Behavioral Health, Inc.

  • Marriage & Family Therapist
  • Fullerton, CA
  • NPI 1023410255
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1962625384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E. COMMONWEALTH AVE.",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323616",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E. COMMONWEALTH AVE.",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323616",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAPATI",
        "first_name": "SANDHYA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A46239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A462391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesenia M Grimaldo
• Carol S Grunbaum
• Laura Lucia Guadarrama
• Raul Guadarrama
• Esther Guardado, P.A.C
• Denise Guerra
• Alejandra Guerrero
• Anthony Michael Guerrero
• Christian Guerrero
• Daniel Guerrero

• Psychiatry Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.