Organization Active NPI

Rachna Gupta, D.O., P.C.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1013119767
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1234 Issued in NV
Legal business name
RACHNA GUPTA, D.O., P.C.
Practice address
765 N Nellis Blvd
Suite 6
Las Vegas, NV 89110-5311
Phone
(702) 791-3931
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachna Gupta, D.O.NPI 1538137401
Title
President
Phone
(702) 791-3931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1234 NV Primary

Addresses

Primary practice location

765 N Nellis Blvd
Suite 6
Las Vegas, NV 89110-5311

Mailing address

1459 Danyelle CT
Las Vegas, NV 89117-1300
Phone (702) 791-3931

Other identifiers 1

IdentifierTypeStateIssuer
100507191MedicaidNV

Other names 1

  • Desert Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000010 NV Part B Supplier - Clinic/Group Practice 9931291598 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

731 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 791-3931

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1013119767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 DANYELLE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171300",
            "telephone_number": "702-791-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N NELLIS BLVD",
            "address_2": "SUITE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105311",
            "telephone_number": "702-791-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHNA GUPTA, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RACHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-791-3931",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507191",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.