Healthcare Provider Details

I. General information

NPI: 1487395570
Provider Name (Legal Business Name): SONUL GUPTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE 2500
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST STE 2500
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6978
  • Fax: 916-734-6666
Mailing address:
  • Phone: 916-734-6978
  • Fax: 916-734-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number189315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: