Individual provider Active NPI

Mitalie Gupta, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1164050472
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U8063 Issued in TX
Practice address
7901 Frost St
San Diego, CA 92123-2701
Phone
(858) 939-3400
Fax
(858) 939-3527
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine (M.D./D.O.) Physician 209800000X MD2023-1530 NM
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X U8063 TX Primary

Addresses

Primary practice location

7901 Frost St
San Diego, CA 92123-2701

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 798-9083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240105002358 TX Practitioner - Internal Medicine 4284085002 Reassigns benefits to 1 organization
I20240228001545 NM Practitioner - Internal Medicine 4284085002 Reassigns benefits to 1 organization
I20250411001549 CA Practitioner - Internal Medicine 4284085002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus on Health IncGroup PAC ID 0648624254, 63 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

San Diego, CA 92123
Phone (858) 541-0181

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U8063TXMDInternal Medicine Physician
MD2023-1530NMMDLegal Medicine (M.D./D.O.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Feb 15, 2024 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients
Focus on Health Inc CurrentSince Mar 31, 2025 Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Interoperability endpoints

  • Direct secure messaging: mitalie.gupta@hca8.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1164050472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-798-9083",
            "fax_number": "760-705-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "858-939-3400",
            "fax_number": "858-939-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MITALIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NM",
            "license": "MD2023-1530",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U8063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.