DR. MAMATHA M. GUPTA (NPI# 1376760900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376760900 |
| Entity Type | Individual |
| Full Name | DR. MAMATHA M. GUPTA |
| Other Name | DR. MAMATHA MAKAM NAGABHUSHANAM |
| Credential | M.D. |
| Practice Address |
10535 Hospital Way Mather CA 95655 |
| Practice Telephone | 9168437000 |
| Mailing Telephone | 9168437000 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
36665 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 222566 | 05 |
| Street Address |
10535 HOSPITAL WAY |
| City | MATHER |
| State | CA |
| Zip Code | 95655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251681 | Harold A Burger | Internal Medicine | 10535 Hospital Way, Mather Va Hospital, Mather, CA 95655 | 2005-08-10 |
| 1174123483 | Daniel Porter | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-27 |
| 1306443379 | Brandon Flaig | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-10-02 |
| 1568076883 | Heather A Tucker-bjorum | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-09-03 |
| 1457961260 | Sunny Renee Burdick | Audiologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-08-06 |
| 1508475096 | Duyen Thien Doan | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-30 |
| 1568071181 | Alice Chen | Pharmacist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-29 |
| 1659980753 | Christie Carole Mead | Psychologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-24 |
| 1124646393 | Ann Marie Bowring | Nurse Practitioner | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-07-13 |
| 1558984781 | Sonja Careaga Espinosa | Social Worker | 10535 Hospital Way, Mather, CA 95655-4200 | 2020-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624489 | Sacramento County Office of Education | Clinic/Center | Sacramento County Office of Education/david P. Meaney, 10474 Mather Boulevard, Conference Room A, Mather, CA 95655 | 2019-11-18 |
| 1528539194 | Diana Florina Mccarthy | Pharmacist | 11009 Brattleboro Cir, Mather, CA 95655 | 2018-12-07 |
| 1336235811 | Ian Chan | Internal Medicine | 10565 Hospital Way, Bldg 647, Cardiology Department, Mather, CA 95655 | 2006-10-04 |
| 1790759066 | Tin Zar Shain | Psychiatry & Neurology | 10633 Grissom Avenue, Mather, CA 95655 | 2006-02-14 |
| 1174594659 | Leslie K Eaton | Psychiatry & Neurology | 16033 Grissom Ave, Mather, CA 95655 | 2006-01-31 |
| 1306496799 | Connie Q Sou | Pharmacist | 10535 Hospital Way # 119, Mather, CA 95655 | 2019-09-17 |
| 1356901490 | Sacramento County Office of Education | Local Education Agency (LEA) | 10474 Mather Blvd, Mather, CA 95655 | 2019-06-20 |
| 1619946449 | Melinda Jane Keenan | Psychologist | 10633 Grissom Ave, Mather, CA 95655 | 2006-03-15 |
| 1467438952 | Scott Alfred Hundahl | Surgery | Sacramento Va Medical Center - Chief of Surgery, 10535 Hospital Way, Smat-112, Mather, CA 95655-1200 | 2005-12-16 |
| 1932171519 | Nipavan Chiamvimonvat | Specialist | Va Medical Center, 10535 Hospital Way, Mather, CA 95655-1200 | 2006-02-07 |
| Find all providers in zip 95655 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.