Suraj Gupta (NPI# 1083877633, PAC ID# 4385860287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1083877633 |
| PAC ID by PECOS | 4385860287 |
| Professional Enrollment ID | I20151111000860 |
| Full Name | Suraj Gupta |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
99 Montecillo Rd San Rafael CA 94903-3308 |
| Phone Number | 4154442000 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050510 | KAISER FOUNDATION HOSPITAL - SAN RAFAEL |
| Address | Phone | Organization |
|---|---|---|
| 99 Montecillo Rd, San Rafael, CA 94903-3308 | 4154442000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
99 MONTECILLO RD |
| City | SAN RAFAEL |
| State | CA |
| Zip | 94903-3308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Moskowitz | Dermatology | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| John F Kunkel | Pathology | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Peter C Reidy | Internal Medicine | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Sirisha Nandipati | Neurology | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Jason Willis-shore | Emergency Medicine | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Kevin Hyungwoo Kim | Dermatology | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Kristen C Swann | Emergency Medicine | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Prasad A Murthy | Diagnostic Radiology | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Angelique F Vitug | Family Medicine | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Monica Y Tse | Internal Medicine | Permanente Medical Group Inc | 99 Montecillo Rd, San Rafael, CA 94903-3308 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele E Saloner | Psychologist, Clinical | 120 El Capitan Dr, San Rafael, CA 94903-1003 | |
| Thomas Isaacs | Psychologist, Clinical | 7 Mount Lassen Dr, C252, San Rafael, CA 94903-1154 | |
| Angela M Savelli | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Nicholas A Verville | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Stewart Lin | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Marci A Silverberg | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Krishna Wittman | Physical Therapy | Marin Individual Practice Association | 1401 Los Gamos Dr, Suite 140, San Rafael, CA 94903-1832 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Stacey A Clemenceau | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Brandi R Marcaletti | Psychologist, Clinical | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Find all physicians in zip 94903 | |||
| City | SAN RAFAEL |
| Zip Code | 94903 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SAN RAFAEL + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Suraj 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.