Individual provider Active NPI

Pushpinder S Guleria, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Victorville, CA
National Provider Identifier
1366521825
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A76268 Issued in CA
Practice address
12550 Hesperia Rd Ste 100
Victorville, CA 92395-5873
Phone
(760) 381-7705
Fax
(760) 843-5416
NPI assigned
Nov 3, 2006
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A76268 CA Primary

Addresses

Primary practice location

12550 Hesperia Rd Ste 100
Victorville, CA 92395-5873

Mailing address

PO Box 6
Rancho Mirage, CA 92270-0006
Phone (760) 323-6881

Other identifiers 1

IdentifierTypeStateIssuer
00A762680MedicaidCA

Other names 1

  • Paul Guleria Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pguleria1373334@oc.providencedirect.org

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
I20080529000896 CA Practitioner - Endocrinology 0446320618 Reassigns benefits to 3 organizations
Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

12550 Hesperia Rd
Suite 100
Victorville, CA 92395-5873
Phone (760) 241-6666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76268CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Oct 7, 2008 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Providence Medical Foundation CurrentSince Oct 17, 2016 Accepting new patients
Providence Medical Foundation Current Accepting new patients
First Choice Physician Partners Endocrinology, Diabetes & Metabolism CurrentSince Jul 31, 2019 Accepting new patients
Providence Medical Foundation CurrentSince Oct 17, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Jul 31, 2019 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Midland Memorial Hospital Past Accepting new patients
Department of State Health Services Past Accepting new patients
St Mary Specialty Clinic Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1140 N Indian Canyon Dr
#100
Palm Springs, CA 92262
Phone (760) 323-6881

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

555 E Tachevah Dr
Ste 1W201
Palm Springs, CA 92262
Phone (760) 320-0388

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

12550 Hesperia Rd
Ste 100
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ce473a90-8f1a-4986-bfd2-44af80062115/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1366521825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700006",
            "telephone_number": "760-323-6881",
            "fax_number": "760-323-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "760-381-7705",
            "fax_number": "760-843-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULERIA",
        "first_name": "PUSHPINDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A76268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A762680",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pguleria1373334@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12550 Hesperia Rd Ste 100",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923955873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "GULERIA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.