Active NPI
Neeraj Gupta, M.D.
- Internal Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A104339
- Practice address
- 4300 Long Beach Blvd Ste 500
Long Beach, CA 90807-2023 - Phone
- (213) 440-1082
- NPI assigned
- Jul 3, 2008
- Last updated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A104339 | CA | Primary |
Addresses
Primary practice location
4300 Long Beach Blvd Ste 500
Long Beach, CA 90807-2023
Mailing address
PO Box 1740
Los Angeles, CA 90078-1740
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (747) 264-9202
2829 Oak Point Dr
Los Angeles, CA 90068-2033
Phone (213) 421-1715
Hospital & facility affiliations
- St. Arsenius Hospice Care, Inc
- Pomona Valley Hospital Medical Center
- Ocean Ridge Post Acute
- Long Beach Post Acute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104339 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Medical Services, Inc | Internal Medicine | Current | Accepting new patients |
| Alliance Wellness Care | Internal Medicine | Current | Accepting new patients |
Locations
16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201
23388 Mulholland Dr
Woodland Hls, CA 91364
Phone (818) 876-1050
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Arsenius Hospice Care, Inc | Hospice | Contracted Managing Employee | Mar 17, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Pasadena, CA
- NPI 1831524834
Contracted Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Woodland Hills, CA
- NPI 1326724899
Internal Medicine
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1144047358
-
dba Aericks Healthcare Clinic
- Family Medicine Physician
- Inglewood, CA
- NPI 1982588737
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ocean Ridge Post Acute
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1689308132
Nursing home
-
dba Long Beach Post Acute
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1811390693
Nursing home
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- Community Based Hospice Care Agency
- Pasadena, CA
- NPI 1831524834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1356504062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1740",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900781740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONG BEACH BLVD STE 500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072023",
"telephone_number": "213-440-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "NEERAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A104339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.