Individual provider Active NPI

Sachin S Gupta, MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1275777237
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A113686 Issued in CA
Practice address
1228 S Saltair Ave
Apt 4
Los Angeles, CA 90025-6642
Phone
(310) 350-7007
NPI assigned
Apr 21, 2009
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A113686 CA Primary

Addresses

Primary practice location

1228 S Saltair Ave
Apt 4
Los Angeles, CA 90025-6642

Mailing address

1228 S Saltair Ave
Apt 4
Los Angeles, CA 90025-6642
Phone (310) 350-7007

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
I20231214003509 CA Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 1254579303

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1275777237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 S SALTAIR AVE",
            "address_2": "APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256642",
            "telephone_number": "310-350-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S SALTAIR AVE",
            "address_2": "APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256642",
            "telephone_number": "310-350-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SACHIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A113686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.