Individual provider Active NPI

Victor Guharoy, MD

  • Gastroenterology Physician
  • Rialto, CA
National Provider Identifier
1306259114
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A139954 Issued in CA
Practice address
2006 N Riverside Ave
Rialto, CA 92377-4696
Phone
(909) 644-4033
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A139954 CA Primary

Addresses

Primary practice location

2006 N Riverside Ave
Rialto, CA 92377-4696

Mailing address

2608 School of Medicine Education Building
Riverside, CA 92521-0001

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
I20180410000331 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 8224391065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

2006 N Riverside Ave
Suite B
Rialto, CA 92377-4697
Phone (909) 644-4033

375 Terracina Blvd
Redlands, CA 92373-3801
Phone (909) 644-4033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139954CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Gastroenterology Associates Inc. Gastroenterology CurrentSince Aug 23, 2021 Accepting new patients
Beaver Medical Group P C Gastroenterology CurrentSince Feb 1, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

375 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-2600

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2006 N Riverside Ave
Ste B
Rialto, CA 92377
Phone (909) 644-4033

2006 N Riverside Ave
Rialto, CA 92377
Phone (909) 227-5139

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 4

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1306259114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 SCHOOL OF MEDICINE EDUCATION BUILDING",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925210001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774696",
            "telephone_number": "909-644-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHAROY",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A139954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.