DR. SUNITHA GUBBALA (NPI# 1992761118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992761118 |
| Entity Type | Individual |
| Full Name | DR. SUNITHA GUBBALA |
| Credential | M.D. |
| Practice Address |
2410 Samaritan Dr Suite 201 San Jose CA 95124-3909 |
| Practice Telephone | 4083719010 |
| Practice Fax Number | 4083712633 |
| Mailing Telephone | 4083719010 |
| Mailing Fax Number | 4083712633 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A79120 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID-TYPE UNSPECIFIED | 00A791200 | 01 |
| CA | RAILROAD MEDICARE | 00A791200 | 01 |
| Street Address |
2410 SAMARITAN DR SUITE 201 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612812 | Endoscopy Center of Silicon Valley Inc. | Clinic/Center | 2410 Samaritan Dr, 101, San Jose, CA 95124 | 2006-01-04 |
| 1952724593 | Premier Imaging Medical Associates Inc. | Specialist | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2014-02-03 |
| 1336441310 | Vip Vein Center | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2010-11-24 |
| 1033448782 | Endoscopy Surgery Center of Silicon Valley LLC | Clinic/Center | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2009-12-09 |
| 1326059551 | Matthew Thien Tran | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1609887371 | Yueh-ju Yale Chung | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1588675243 | Anup Kumar Singh | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1053321471 | Rajeev Lal Tandon | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1760492177 | Kenneth Cham Ong | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1649289513 | Stuart Irwin Mass | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457850455 | Manjari Aravamuthan,m.d.;p.c. | Internal Medicine | 1569 Lexann Ave Ste 220, San Jose, CA 95121-1795 | 2018-02-05 |
| 1841737236 | Maria Cecilia Monge Bonilla | Internal Medicine | 200 Metros Este Del Ampm, Guachipelin Escazu, San Jose, SAN JOSE 1000 | 2017-01-24 |
| 1417305624 | Pydi Akella | Internal Medicine | 1675 Lorient Ter, San Jose, CA 95133-1515 | 2016-05-27 |
| 1508240102 | Srijana Davuluri | Internal Medicine | 751 S Bascom Avenue, San Jose, CA 95128 | 2015-07-13 |
| 1679992986 | Piyanka Estelle Chandra | Internal Medicine | 275 Hospital Pkwy Ste 706, San Jose, CA 95119-1102 | 2014-04-15 |
| 1942622717 | Affordable Unique Health Care Inc | Internal Medicine | 2070 Silence Dr, San Jose, CA 95148-1918 | 2014-01-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1639499866 | Nayyar Mumtaz Masood | Internal Medicine | 4003 Claitor Way, San Jose, CA 95132-3212 | 2010-06-10 |
| 1740507367 | Sweetheart T Ador-dionisio | Internal Medicine | 280 Hospital Pkwy Bldg D, San Jose, CA 95119-1103 | 2010-04-21 |
| 1467775866 | Dinh Xuan Dam M.d. Corporation | Internal Medicine | 200 N Jackson Ave Ste C, San Jose, CA 95116-1601 | 2010-03-12 |
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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.