Individual provider Active NPI

Anita Gupta

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
National Provider Identifier
1376746834
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
173723 Issued in CA
Practice address
12843 El Camino Real
San Diego, CA 92130-2964
Phone
(844) 213-7246
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 173723 CA
Anesthesiology Physician 207L00000X DO034234 DC
Anesthesiology Physician 207L00000X 25MB08924000 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB08924000 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X DO034234 DC
Pain Medicine (Anesthesiology) Physician 207LP2900X 173723 CA Primary

Addresses

Primary practice location

12843 El Camino Real
San Diego, CA 92130-2964

Mailing address

122 15TH St Unit 400
Del Mar, CA 92014-8017
Phone (844) 213-7246

Other practice location 1

3706 Ruffin Rd
San Diego, CA 92123-1812
Phone (844) 213-7246

Other practice location 2

4445 Eastgate Mall
San Diego, CA 92121-1979
Phone (844) 213-7246

Other practice location 3

11234 Anderson St
Loma Linda, CA 92350-1716
Phone (844) 213-7246

Other practice location 4

757 Westwood Plz
Los Angeles, CA 90095-2964
Phone (844) 213-7246

Other practice location 5

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (844) 213-7246

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
I20210420002261 CA Practitioner - AnesthesiologyPractitioner - Pain Management 8426145814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

12843 El Camino Real
Suite 203
San Diego, CA 92130-2966
Phone (858) 558-0399

Hospital & facility affiliations

  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173723CAMDPain Medicine (Anesthesiology) Physician
DO034234DCMDPain Medicine (Anesthesiology) Physician
25MB08924000NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 24, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Anesthesiology CurrentSince Jan 16, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Scripps Health Current Accepting new patients
Monica Perlman MD Inc. CurrentSince Apr 9, 2024 Accepting new patients
Strata Group, Inc Anesthesiology Current Accepting new patients
The Regents of the University of California Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Washington Hospital Center Corp Anesthesiology Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

1905 Calle Barcelona
Ste 211
Carlsbad, CA 92009
Phone (858) 766-6007

122 15th St
Unit 400
Del Mar, CA 92014

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

12843 El Camino Real
Ste 203
San Diego, CA 92130
Phone (858) 558-0399

3706 Ruffin Rd
San Diego, CA 92123
Phone (713) 363-0393

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: agupta361106@scrippshlth.medalliesdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1376746834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 15TH ST UNIT 400",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920148017",
            "telephone_number": "844-213-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12843 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302964",
            "telephone_number": "844-213-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 Ruffin Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231812",
            "country_code": "US",
            "telephone_number": "844-213-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Eastgate Mall",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211979",
            "country_code": "US",
            "telephone_number": "844-213-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923501716",
            "country_code": "US",
            "telephone_number": "844-213-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900952964",
            "country_code": "US",
            "telephone_number": "844-213-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 Loughboro Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "844-213-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "173723",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "DO034234",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08924000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB08924000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DC",
            "license": "DO034234",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "173723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.