NPIMap

Individual provider Active NPI

Sunitha Gubbala, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1992761118
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79120 Issued in CA
Practice address
2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone
(408) 371-9010
Fax
(408) 371-2633
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79120 CA Primary

Addresses

Primary practice location

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909

Mailing address

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone (408) 371-9010

Other identifiers 2

IdentifierTypeStateIssuer
00A791200OtherCARAILROAD MEDICARE
00A791200OtherCAMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511001010 CA Practitioner - Internal Medicine 8921048661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone (408) 371-9010

Hospital & facility affiliations

  • Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Sutter Care at Home Home health agency, Saratoga, CA, CCN 757662
  • Strive Home Health, LLC Home health agency, Livermore, CA, CCN 757050
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Affinity Medical Group Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

Interoperability endpoints

  • Direct secure messaging: sgubbala64866@direct.stanfordhealthcare.org

Organizations & group practices 5

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1992761118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR",
            "address_2": "SUITE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBBALA",
        "first_name": "SUNITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "00A791200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "00A791200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.