Individual provider Active NPI

Anuj Gupta, MD

  • Interventional Pain Medicine Physician
  • Vista, CA
National Provider Identifier
1073629549
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A85939 Issued in CA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1409987MedicaidLA
190104301MedicaidTX

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
I20061122000331 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 2769480946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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
Anuj Gupta MD CorporationGroup PAC ID 7911039243, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Anuj Gupta MD Corporation Anesthesiology CurrentSince Apr 30, 2003 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

  • Direct secure messaging: agupta13@agmc-ca.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/1055/brand/1/csg/41/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22218/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.