Organization Active NPI

Narendra K. Gupta, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Glendora, CA
National Provider Identifier
1205997962
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A31614 Issued in CA
Legal business name
NARENDRA K. GUPTA, M.D., INC.
Practice address
415 W Route 66 Ste 203
Glendora, CA 91740-4335
Phone
(626) 914-1919
Fax
(626) 963-0857
NPI assigned
Dec 13, 2006
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Narendra K Gupta, M.D.
Title
President
Phone
(626) 962-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A31614 CA Primary

Addresses

Primary practice location

415 W Route 66 Ste 203
Glendora, CA 91740-4335

Mailing address

415 W Route 66 Ste 203
Glendora, CA 91740-4335
Phone (626) 914-1919

Other identifiers 1

IdentifierTypeStateIssuer
00A316141MedicaidCA

National Provider Directory

National Provider Directory

Locations

415 W Route 66
Ste 203
Glendora, CA 91740
Phone (626) 914-1919

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1205997962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 203",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-914-1919",
            "fax_number": "626-963-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 203",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-914-1919",
            "fax_number": "626-963-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARENDRA K. GUPTA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-1041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A316141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.