Individual provider Active NPI

Gurvinder Sunny Uppal, MD

  • Orthopaedic Surgery of the Spine Physician
  • Riverside, CA
National Provider Identifier
1285639922
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G70650 Issued in CA
Practice address
4354 Latham St Ste 100
Riverside, CA 92501-1777
Phone
(951) 683-0650
Fax
(951) 744-6127
NPI assigned
Jun 17, 2005
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G70650 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X G70650 CA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G70650 CA

Addresses

Primary practice location

4354 Latham St Ste 100
Riverside, CA 92501-1777

Mailing address

4354 Latham St Ste 100
Riverside, CA 92501-1777
Phone (951) 683-0650

Other identifiers 1

IdentifierTypeStateIssuer
200027890OtherCARAILROAD MEDICARE

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
I20080625000773 CA Practitioner - Orthopedic Surgery 7911078506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70650CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group, Inc Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Newport Care Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

4281 Katella Ave
Ste 222
Los Alamitos, CA 90720

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 894-7555

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1285639922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-683-0650",
            "fax_number": "951-744-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-683-0650",
            "fax_number": "951-744-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "GURVINDER",
        "middle_name": "SUNNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G70650",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G70650",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G70650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200027890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.