Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAYASUDHA GUDE
NPI 1164180782
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Francisco, CA

Q: What is Jayasudha Gude's NPI number?

The NPI number for Jayasudha Gude is 1164180782. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Q: What is Jayasudha Gude's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Jayasudha Gude was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2021PECOS Enrolled

675 18TH ST # PB-5250, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Dec 1, 2021 (2 updates tracked since 2021).

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About Jayasudha Gude NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYASUDHA GUDE (NPI 1164180782) is an individual child & adolescent psychiatry provider in San Francisco, California, licensed in California (A212057) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164180782

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameJAYASUDHA GUDE

Location Address675 18TH ST # PB-5250San Francisco, CA 94143-4200

Mailing Address5190 Neil RdReno, NV 89502-6599 · (775) 982-7800

Phone(415) 476-7000

Sole ProprietorNo

Enumeration DateDecember 1, 2021

Last NPPES UpdateOctober 16, 20262 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1164180782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A212057

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

675 18TH ST # PB-5250, San Francisco, CA 94143

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Secondary Practice Locations 2

Location 12655 Enterprise RdReno, NV 89512-1666 · Phone (775) 668-1600 ext. 00004 · Fax (775) 668-1616

Location 25190 Neil RdReno, NV 89502-6599 · Phone (775) 982-7800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayasudha Gude is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN RAMAIYA MSC

Psychiatry & Neurology (Psychiatry)