Individual provider Active NPI

Rajeev Gulati, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, CA
National Provider Identifier
1376579664
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G86583 Issued in CA
Practice address
255 E Bonita Ave
Pomona, CA 91767-1923
Phone
(909) 865-1161
Fax
(909) 865-1737
NPI assigned
Jun 25, 2006
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35073175 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101256928 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G86583 CA Primary

Addresses

Primary practice location

255 E Bonita Ave
Pomona, CA 91767-1923

Mailing address

1070 Fuller Dr
Claremont, CA 91711-1496
Phone (909) 865-1161

Other practice location 1

1301 S Coulter St Ste 200
Amarillo, TX 79106-1765
Phone (806) 340-0550

Other practice location 2

1070 Fuller Dr
Claremont, CA 91711
Phone (909) 865-1161

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
I20040130000294 CA Practitioner - Cardiac SurgeryPractitioner - General PracticePractitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 5395648950 Reassigns benefits to 1 organization
Practice locations: Apple Valley, CA; Inglewood, CA; Lynwood, CA; Pomona, CA; Riverside, CA; Upland, CA; Victorville, CA; Anaheim, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Practice, General Surgery, Thoracic Surgery, Vascular Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Royalty Dr
Suite 250
Pomona, CA 91767-3043
Phone (909) 865-1161

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (866) 724-4127

555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86583CAMDPharmacist
0101256928VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. Orthopaedic Surgery CurrentSince Apr 23, 2024 Accepting new patients
Pomona Valley Cardiac Surgery CurrentSince Jul 1, 2007 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Apr 23, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Premier Hospitalist Group Inc PastSince Dec 23, 2013 Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
CRB of Ohio, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

160 E Artesia St
Pomona, CA 91767
Phone (909) 629-7878

160 E Artesia St
Ste 355
Pomona, CA 91767
Phone (909) 399-1900

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 104
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • Direct secure messaging: rgulati324870@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1376579664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 FULLER DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111496",
            "telephone_number": "909-865-1161",
            "fax_number": "909-865-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-865-1161",
            "fax_number": "909-865-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S Coulter St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061765",
            "country_code": "US",
            "telephone_number": "806-340-0550",
            "fax_number": "806-513-6790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 Fuller Dr",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "91711",
            "country_code": "US",
            "telephone_number": "909-865-1161",
            "fax_number": "909-865-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "RAJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35073175",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101256928",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G86583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.