Mindful Weight Loss

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MINDFUL WEIGHT LOSS

Practice address

510 N Prospect Ave Ste 301
Redondo Beach, CA 90277-3030

Phone

(310) 997-0141

NPI assigned

Apr 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Vivek Gupta, MDNPI 1508183211

Title

President

Phone

(951) 306-5448

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vivek Gupta, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1508183211
  NPD Authorized official

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1427677210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S LUCIA AVE UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773511",
            "telephone_number": "951-306-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE STE 301",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773030",
            "telephone_number": "310-997-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-306-5448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Mikolaycik
• Ronald Milestone, M.D.
• Corinna Lorraine Miller, RN
• Suzanne Lee Millican, LMFT
• Mind Well Psychological Services, PC
• Mineset Mental Health Inc.
• Faith Anne Mitchell, MFT
• Paulina Mae Mitchell
• Nasrin Moghadasian, D.C., F.I.C.P.A
• Joseph Michael Mograbi, D.C

• Medical Specialty Clinic/Center in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.