Individual provider Active NPI

Kajal Gupta, M.D

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1154461010
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A-92637 Issued in CA
Practice address
4022 Chicago Ave
Riverside, CA 92507-5340
Phone
(855) 505-7467
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A-92637 CA Primary

Addresses

Primary practice location

4022 Chicago Ave
Riverside, CA 92507-5340

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378
Phone (951) 523-0117

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
I20080428000699 CA Practitioner - Internal Medicine 7517047160 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-92637CAMDInternal Medicine Physician
MD150195ORMDPediatric Hematology & Oncology Physician
MD00048778WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Javier Rios, a Medical Corporation CurrentSince Mar 6, 2023 Accepting new patients
Javier R Rios MD, a Professional Corporation Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Dr. Javier Rios, a Medical Corporation Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Oct 5, 2025 Accepting new patients
Javier R Rios MD, a Professional Corporation Internal Medicine Current Accepting new patients
Dr. Javier Rios, a Medical Corporation Internal Medicine Current Accepting new patients
Javier R. Rios MD a Professional Corporation Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Alessandro Medical Professional Corporation Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Alessandro Medical Professional Corporation Internal Medicine CurrentSince Mar 6, 2023 Accepting new patients
Fairchild Medical Group Past Accepting new patients

Locations

1530 W 6th St
Ste 109
Corona, CA 92882
Phone (951) 279-2171

495 E Rincon St
Ste 215
Corona, CA 92879

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

9675 Monte Vista Ave
Ste C
Montclair, CA 91763
Phone (855) 745-8600

13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

4022 Chicago Ave
Riverside, CA 92507
Phone (951) 354-2229

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1154461010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791378",
            "telephone_number": "951-523-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "855-505-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "KAJAL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A-92637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.