Anirudh Gupta, MD, PHD
Individual provider Active NPI Neurology Physician · Ventura, CA
NPI 1306259668 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1306259668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A171524 (CA)
- Practice address
- 120 N Ashwood Ave
Ventura, CA 93003-1810 - Phone
- (805) 658-5800
- Fax
- (805) 642-1928
- NPI assigned
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovative Medical Solutions Inc a Medical Group
California University of Science and Medicine
Practice addresses (Care Compare)
2080 Century Park E
Suite 809
Los Angeles, CA 90067-2011
Phone (310) 715-3237
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 966-4910
Hospital & facility affiliations
- Mission Community Hospital
- Arrowhead Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210311002488 | CA | Practitioner - Neurology | 8628484946 | Reassigns benefits to 4 organizations |
| I20230503003112 | OH | Practitioner - Neurology | 8628484946 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171524 | CA | MD | Neurology Physician |
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Neurology | Current |
Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Innovative Medical Solutions Inc a Medical Group | Current |
Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current |
Accepting new patients | |
| California University of Science and Medicine | Neurology | Current |
Accepting new patients |
| Anirudh Gupta MD PHD Inc | Neurology | Current |
Accepting new patients |
| Community Memorial Health System | Current |
Accepting new patients | |
| Cusm Health | Neurology | Past |
Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1501 Violet St
Colton, CA 92324
Phone (909) 580-9661
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
2080 Century Park E
Los Angeles, CA 90067
Phone (310) 229-1220
2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 203-9818
2080 Century Park E
Ste 809
Los Angeles, CA 90067
Phone (310) 203-0005
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751
4646 Brockton Ave
Ste 302-2
Riverside, CA 92506
Phone (951) 742-5255
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1711 27th St
Ste 103
Portsmouth, OH 45662
Phone (740) 356-6808
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- anirudhgupta@cfh.allscriptsdirect.net
- agupta795411@direct.memorialcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A171524 | CA | Yes |
Addresses
Primary practice location
120 N Ashwood Ave
Ventura, CA 93003-1810
Mailing address
245 W Broadway Apt 743
Long Beach, CA 90802-5081
Other practice location 1
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058
Other providers in Ventura, CA
- Eleanora Rose Gullickson
- Ivy Jo Eva Gullickson
- Chloe Gunther
- Kathleen Guntner
- Sydney Shuo-Yi Guo
- John Charles Gustafson
- Jacqueline Gustilo
- Amber Jennesa Gutierrez
- Denise Gutierrez
- Jennifer Gutierrez
All providers in Ventura, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.