Executive Medical Services, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXECUTIVE MEDICAL SERVICES, INC

Practice address

2829 Oak Point Dr
Los Angeles, CA 90068-2033

Phone

(213) 421-1715

Fax

(213) 403-4922

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Neeraj Gupta, MDNPI 1356504062

Title

Ceo

Phone

(213) 440-1082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neeraj Gupta, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1356504062
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1144047358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 OAK POINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682033",
            "telephone_number": "213-421-1715",
            "fax_number": "213-403-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 OAK POINT DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682033",
            "telephone_number": "213-421-1715",
            "fax_number": "213-403-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-440-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.

Verify at the official NPI Registry.