Individual
BIBEKANAND GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2800 BENEDICT DR, SAN LEANDRO, CA 94577-6840
(510) 708-0415
Mailing address
4424 ACTRIZ PL, MARTINEZ, CA 94553-1456
(510) 708-0415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95035684
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95035684
CA
363LG0600X
Gerontology Nurse Practitioner
NP95035684
CA
Other
Enumeration date
08/12/2025
Last updated
08/25/2025
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