Anirudh Gupta, MD, PHD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A171524 Issued in CA

Practice address

120 N Ashwood Ave
Ventura, CA 93003-1810

Phone

(805) 658-5800

Fax

(805) 642-1928

NPI assigned

Jun 4, 2014

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OH2 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 2

Specialty

Neurology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

California University of Science and MedicineGroup PAC ID 4880949106, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
• Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: agupta795411@direct.memorialcare.org
• Direct secure messaging: anirudhgupta@cfh.allscriptsdirect.net

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.

• California University of Science and Medicine

  dba CUSM Health

  • Neurology Physician
  • Colton, CA
  • NPI 1255849360
  Medicare reassignment Care Compare group NPD
• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955
  Medicare reassignment Care Compare group NPD
• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Medicare reassignment NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227

  Neurology

  Medicare reassignment NPD
• Anirudh Gupta MD PHD Inc

  • Neurology Physician
  • Ventura, CA
  • NPI 1700591443
  NPD Authorized official
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1497060297
  NPD
• Community Memorial Health System

  dba Community Memorial Health Center

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Somc Medical Care Foundation, Inc.

  dba Somc Radiology Associates

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1366686230
  NPD
• Cusm Health

  • Neurology Physician
  • Colton, CA
  • NPI 1891335477
  NPD (past)

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

• County of San Bernardino

  dba Arrowhead Regional Medical Center

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1720158009
  Care Compare affiliation
• Deanco Healthcare LLC

  dba Mission Community Hospital

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375
  Care Compare affiliation

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1306259668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W BROADWAY APT 743",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N ASHWOOD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031810",
            "telephone_number": "805-658-5800",
            "fax_number": "805-642-1928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANIRUDH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A171524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanora Rose Gullickson, RN
• Ivy Jo Eva Gullickson
• Chloe Gunther
• Kathleen Guntner
• Sydney Shuo-Yi Guo, MD
• John Charles Gustafson, M.D.
• Jacqueline Gustilo
• Amber Jennesa Gutierrez, MSW
• Denise Gutierrez
• Jennifer Gutierrez, RBT

• Neurology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.