Individual provider Active NPI

Amal Kumar Guha, MD

  • Obstetrics & Gynecology Physician
  • Apple Valley, CA
National Provider Identifier
1346328499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A35044 Issued in CA
Practice address
16124 Kasota Rd
Ste a & B
Apple Valley, CA 92307-2216
Phone
(760) 242-2099
Fax
(760) 242-5065
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A35044 CA Primary

Addresses

Primary practice location

16124 Kasota Rd
Ste a & B
Apple Valley, CA 92307-2216

Mailing address

16124 Kasota Rd
Ste a & B
Apple Valley, CA 92307-2216
Phone (760) 242-2099

Other identifiers 1

IdentifierTypeStateIssuer
00A350440MedicaidCA

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
I20110126000335 CA Practitioner - Obstetrics/Gynecology 8729272869

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amal K Guha MD Inc Obstetrics & Gynecology CurrentSince Mar 24, 1980 Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

16124 Kasota Rd
Ste A
Apple Valley, CA 92307
Phone (619) 242-2099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346328499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16124 KASOTA RD",
            "address_2": "STE A & B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072216",
            "telephone_number": "760-242-2099",
            "fax_number": "760-242-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16124 KASOTA RD",
            "address_2": "STE A & B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072216",
            "telephone_number": "760-242-2099",
            "fax_number": "760-242-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "AMAL",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A35044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A350440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.