Active NPI
Kripa Anil Guram, MD
- Radiation Oncology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A181646
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A181646 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (858) 249-6748
Other practice location 1
3855 Health Sciences Dr
LA Jolla, CA 92093-3707
Phone (800) 926-8273
Other practice location 2
3855 Health Sciences Dr # Mc0843
LA Jolla, CA 92092-3707
Phone (858) 735-6732
Other practice location 3
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (858) 735-6732
Other practice location 4
3960 Health Sciences Drive
La Jolla, CA 92037
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828002854 | CA | Practitioner - Radiation Oncology | 9830424787 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proton Doctors Professional Corporation
Practice addresses (Care Compare)
9730 Summers Ridge Rd
San Diego, CA 92121-3101
Phone (858) 549-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A181646 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Cancer Associates for Research and Excellence Inc | Current | Accepting new patients | |
| California Cancer Associates for Research and Excellence Inc | Radiation Oncology | Current | Accepting new patients |
| Regents of the University of California | Radiation Oncology | Current | Accepting new patients |
| Proton Doctors Professional Corporation | Radiation Oncology | Current | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
3855 Health Sciences Dr
#843
La Jolla, CA 92093
Phone (858) 822-6040
3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094
File 57326
Los Angeles, CA 90074
16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100
9730 Summers Ridge Rd
San Diego, CA 92121
Phone (858) 549-7400
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1093240285
CA, Radiation Oncology
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1083661607
CA, Radiation Oncology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
CA, Radiation Oncology
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1902359425
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1003377391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "858-249-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781"
}
],
"practiceLocations": [
{
"address_1": "3855 Health Sciences Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920933707",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3855 Health Sciences Dr # Mc0843",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920923707",
"country_code": "US",
"telephone_number": "858-735-6732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7435 W Talcott Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606313707",
"country_code": "US",
"telephone_number": "858-735-6732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3960 Health Sciences Drive",
"address_purpose": "LOCATION",
"city": "La Jolla",
"state": "CA",
"postal_code": "92037",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GURAM",
"first_name": "KRIPA",
"middle_name": "ANIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2024-08-14",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A181646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.