Active NPI
Anuj Gupta, MD
- Interventional Pain Medicine Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A85939
- Practice address
- 2023 W Vista Way
Suite D
Vista, CA 92083-6030 - Phone
- (619) 330-8771
- Fax
- (619) 330-8772
- NPI assigned
- Aug 21, 2006
- Last updated
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A85939 | CA | |
| Anesthesiology Physician | 207L00000X | A85939 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A85939 | CA | Primary |
Addresses
Primary practice location
2023 W Vista Way
Suite D
Vista, CA 92083-6030
Mailing address
2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone (619) 330-8771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1409987 | Medicaid | LA | |
| 190104301 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Albany Medical College of Union University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone (619) 330-8771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anuj Gupta MD Corporation | Anesthesiology | Current | Accepting new patients |
| Antelope Valley Health Care District | Interventional Pain Medicine | Past | Accepting new patients |
| Inland Valley Anesthesia Medical Group | Anesthesiology | Past | Accepting new patients |
| Anuj Gupta, M.D., Corporation | Past | Accepting new patients | |
| Tri-City Hospital | Interventional Pain Medicine | Past | Accepting new patients |
Locations
3857 Birch St
Newport Beach, CA 92660
Phone (949) 783-3600
2332 Reo Dr
San Diego, CA 92139
Phone (619) 267-0553
2023 W Vista Way
Ste D
Vista, CA 92083
Phone (619) 330-8771
Interoperability endpoints
- agupta13@agmc-ca.direct.office.nextgen.com
- https://api.platform.athenahealth.com/1055/brand/1/csg/41/fhir/r4
- https://api.platform.athenahealth.com/22218/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Interventional Pain Medicine Physician
- Vista, CA
- NPI 1649592981
Anesthesiology
-
dba Advanced Pain Management
- Non-Pharmacy Dispensing Site
- Vista, CA
- NPI 1801229661
-
dba Tri City Surgery Center
- Non-Pharmacy Dispensing Site
- Vista, CA
- NPI 1285068536
-
dba Tri-City Surgery Center
- Ambulatory Surgical Clinic/Center
- Vista, CA
- NPI 1619926755
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
Interventional Pain Medicine
-
- Anesthesiology Physician
- Pomona, CA
- NPI 1790723419
-
dba Tri-City Medical Center
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1073629549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 W VISTA WAY",
"address_2": "SUITE D",
"city": "VISTA",
"state": "CA",
"postal_code": "920836030",
"telephone_number": "619-330-8771",
"fax_number": "619-330-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 W VISTA WAY",
"address_2": "SUITE D",
"city": "VISTA",
"state": "CA",
"postal_code": "920836030",
"telephone_number": "619-330-8771",
"fax_number": "619-330-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ANUJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A85939",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A85939",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A85939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1409987",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190104301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.