Organization Active NPI

Hari Om Goyal MD and Shalini Gupta MD

  • Internal Medicine Physician
  • Marysville, CA
National Provider Identifier
1336452085
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65439 Issued in CA
Legal business name
HARI OM GOYAL MD AND SHALINI GUPTA MD
Practice address
414 G Street
Suite 240
Marysville, CA 95901
Phone
(530) 741-2393
Fax
(530) 741-2396
NPI assigned
Jul 23, 2010
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Hari Om Goyal, MDNPI 1770571515
Title
President
Phone
(530) 741-2393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65439 CA Primary

Addresses

Primary practice location

414 G Street
Suite 240
Marysville, CA 95901

Mailing address

414 G Street
Suite 240
Marysville, CA 95901
Phone (530) 741-2393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1336452085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G STREET",
            "address_2": "SUITE 240",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-741-2393",
            "fax_number": "530-741-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G STREET",
            "address_2": "SUITE 240",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-741-2393",
            "fax_number": "530-741-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARI OM GOYAL MD AND SHALINI GUPTA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "OM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-741-2393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.