SUJAN GAUTAM NP
NPI 1790499630
Nurse Practitioner - Family in San Francisco, CA

Q: What is Sujan Gautam's NPI number?

The NPI number for Sujan Gautam is 1790499630. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Q: What is Sujan Gautam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sujan Gautam was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 January 05, 2023

900 FOLSOM ST APT 414, SAN FRANCISCO, CA 94107(318) 243-5254 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Sujan Gautam Np NPPES

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

SUJAN GAUTAM NP (NPI 1790499630) is an individual family provider in San Francisco, California, licensed in California (95023796) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1790499630

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSUJAN GAUTAMCredential: NP

Location Address900 FOLSOM ST APT 414San Francisco, CA 94107-2170

Mailing Address900 Folsom St Apt 414San Francisco, CA 94107-2170 · (318) 243-5254

Phone(318) 243-5254

Sole ProprietorYes

Enumeration DateJanuary 5, 2023

NPPES CertifiedJanuary 5, 2023

✔ NPI 1790499630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95023796

900 FOLSOM ST APT 414, San Francisco, CA 94107

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujan Gautam's NPI number?

The NPI number for Sujan Gautam is 1790499630. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Sujan Gautam located?

Sujan Gautam practices at 900 Folsom St Apt 414, San Francisco, CA 94107. The listed phone number is (318) 243-5254.

What is Sujan Gautam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sujan Gautam was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.