Surendra Gupta, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

152468 Issued in CA

Practice address

2760 S Elm Ave
Fresno, CA 93706-5435

Phone

(559) 457-5300

Fax

(559) 457-5390

NPI assigned

Jul 13, 2015

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Sierra Vista

  dba Orange and Butler Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1740439314
  Medicare reassignment Care Compare group NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114

  Pediatrics

  Medicare reassignment NPD
• Camarena Health

  dba Camarena Health - Los Banos

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1114757754
  NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1174989297
  NPD
• Clinica Sierra Vista

  dba West Shaw Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1033486048
  NPD
• Clinica Sierra Vista

  dba Lamont Pharmacy

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1245234673
  NPD (past)
• Tejinder S Randhawa MD Inc

  dba Childrens Medical Centers of Fresno

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1588773667
  NPD (past)
• Tejinder S Randhawa MD Inc

  dba Childrens Medical Centers of Fresno

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1609970870
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1033593769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5300",
            "fax_number": "559-457-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SURENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "152468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Sanjay Gupta
• Rohan Gupta, M.D.
• Sachin Gupta, M.D.
• Shilpi Gupta, MD
• Suman Jasmine Gupta, MD
• Hafsa Gurdogan
• Amelia Linderholm Gurley, MD
• Gia Natasha Gurley
• Harmeet Singh Gurm, MD
• James Gurnard

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.