Organization Active NPI

Naveen Gupta MD Inc

  • Medical Oncology Physician
  • Upland, CA
National Provider Identifier
1366420416
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A34794 Issued in CA
Legal business name
NAVEEN GUPTA MD INC
Practice address
360 E 7TH St
Ste B
Upland, CA 91786-6701
Phone
(909) 946-6792
Fax
(909) 949-1172
NPI assigned
Jan 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Dr. Naveen Gupta, M.D.
Title
President
Phone
(909) 946-6792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X A34794 CA Primary

Addresses

Primary practice location

360 E 7TH St
Ste B
Upland, CA 91786-6701

Mailing address

360 E 7TH St
Ste B
Upland, CA 91786-6701
Phone (909) 946-6792

Other identifiers 2

IdentifierTypeStateIssuer
110035556OtherCARAILROAD
00A347940MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1366420416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST",
            "address_2": "STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-946-6792",
            "fax_number": "909-949-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST",
            "address_2": "STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-946-6792",
            "fax_number": "909-949-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVEEN GUPTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-07",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-6792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A34794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110035556",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A347940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.