Individual provider Active NPI

Anushree Gupta, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1043574403
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A126104 Issued in CA
Practice address
6850 Brockton Ave Ste 108
Riverside, CA 92506-3814
Phone
(951) 901-3986
Fax
(951) 610-0783
NPI assigned
Jul 1, 2012
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A126104 CA Primary
Hospitalist Physician 208M00000X A126104 CA

Addresses

Primary practice location

6850 Brockton Ave Ste 108
Riverside, CA 92506-3814

Mailing address

4150 Chicago Ave # 53038
Riverside, CA 92507-5369
Phone (951) 901-3986

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910002985 CA Practitioner - Family Practice 5092022814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Bernardino Mountains Community Hospital DistrictGroup PAC ID 7012826878, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400

6850 Brockton Ave
Suite 108
Riverside, CA 92506-3814
Phone (951) 787-7753

PO Box
Suite 70
Lake Arrowhead, CA 92352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126104CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Physician Services PC Family Medicine CurrentSince May 1, 2024 Accepting new patients
County of San Bernardino Current Accepting new patients
Anushree Gupta MD Inc Family Medicine CurrentSince Sep 14, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Vituity Healthcare Services PC Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

400 N Pepper Ave
Ste 301
Colton, CA 92324
Phone (909) 580-3366

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

4150 Chicago Ave
#53038
Riverside, CA 92507

6850 Brockton Ave
Ste 108
Riverside, CA 92506
Phone (951) 313-6843

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1043574403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CHICAGO AVE # 53038",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075369",
            "telephone_number": "951-901-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063814",
            "telephone_number": "951-901-3986",
            "fax_number": "951-610-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANUSHREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126104",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A126104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.