Active NPI
Rachna Gupta, D.O., P.C.
- Ophthalmology Physician
- Las Vegas, NV
National Provider Identifier
1013119767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachna Gupta, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507191 | Medicaid | NV |
Other names 1
- Desert Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1538137401
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.