Deepti Gupta (NPI# 1952554917, PAC ID# 5890973572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952554917 |
| PAC ID by PECOS | 5890973572 |
| Professional Enrollment ID | I20110628000600 |
| Full Name | Deepti Gupta |
| Organization Legal Name | ALTA CALIFORNIA MEDICAL GROUP INC |
| Address |
2925 Sycamore Dr Suite 204205 Simi Valley CA 93065-1207 |
| Phone Number | 8055789620 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 1658308507 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050159 | VENTURA COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 | 8055789620 | ALTA CALIFORNIA MEDICAL GROUP INC |
| Organization Legal Name | ALTA CALIFORNIA MEDICAL GROUP INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita D Mehta | Physician Assistant | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Jun Yung Kim | Nurse Practitioner | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Bruce Albert Nelson Iii | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Masahiro Kushigemachi | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Dominic Muzsnai | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Jill L Collier | Nurse Practitioner | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Emelia Perez | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Alberto Jose Odio | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Leslie Buchanan | Physician Assistant | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Nancy Menges | Physician Assistant | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Street Address |
2925 SYCAMORE DR SUITE 204205 |
| City | SIMI VALLEY |
| State | CA |
| Zip | 93065-1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smita D Mehta | Physician Assistant | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Jun Yung Kim | Nurse Practitioner | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Bruce Albert Nelson Iii | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Donald I Kuzyk | Podiatry | 2925 Sycamore Dr, Suite 109, Simi Valley, CA 93065-1208 | |
| Clayton Thomas Hinshaw | Dermatology | Simi Dermatologic Medical Center, Inc | 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 |
| Masahiro Kushigemachi | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Charles E Linden | Dermatology | Simi Dermatologic Medical Center, Inc | 2925 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1208 |
| Lisa Noriye Oki | Dermatology | 2925 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1208 | |
| Dominic Muzsnai | Family Medicine | Alta California Medical Group Inc | 2925 Sycamore Dr, Suite 204205, Simi Valley, CA 93065-1207 |
| Mohan N Lakhani | Interventional Cardiology | 2925 Sycamore Dr, Suite 310, Simi Valley, CA 93065-1209 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Cohen | Optometry | 1555 Simi Town Ctr Way, Suite 575, Simi Valley, CA 93065-0535 | |
| Daria Younessi | Family Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Qurat-ul-ain A Rashid | Internal Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan R Nasseri | Hospice/palliative Care | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Trung Bui | Vascular Surgery | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in zip 93065 | |||
| City | SIMI VALLEY |
| Zip Code | 93065 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SIMI VALLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Deepti Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.