Abha Gupta M D a Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A41163 Issued in CA

Legal business name

ABHA GUPTA M D A PROFESSIONAL CORPORATION

Practice address

801 N Tustin Ave Ste 201
Santa Ana, CA 92705-3600

Phone

(714) 558-7277

Fax

(714) 558-3075

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Abha S Gupta, M.D.NPI 1336140458

Title

Owner

Phone

(714) 558-7277

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abha S Gupta, M.D.

  • Specialist
  • Santa Ana, CA
  • NPI 1336140458

  CA

  Medicare reassignment Authorized official
• Ambica Garg, M. D.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
  • NPI 1265700975
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1386972537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053600",
            "telephone_number": "714-558-7277",
            "fax_number": "714-558-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053600",
            "telephone_number": "714-558-7277",
            "fax_number": "714-558-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHA GUPTA M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ABHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-558-7277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A41163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Abdishoo, M.D.
• Amir Abdo
• Abigail Abe
• Kingsley Abel
• Maria Carina Abenes, PSY
• Priscilla Abji, LCSW
• Joaquin Aboitiz
• Yara Abou Habib, LE
• Hamza Abouabdalla
• Abraham Ghorbanian DDS Dental Office of Santa Ana Corporation

• All providers in Santa Ana, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.