Active NPI
Rajeev Gupta, MD
- Internal Medicine Physician
- El Centro, CA
National Provider Identifier
1437117959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A49489
- Practice address
- 1550 N Imperial Ave
Suite 1
El Centro, CA 92243-6304 - Phone
- (760) 352-1731
- Fax
- (760) 337-1834
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49489 | CA | Primary |
| Pediatrics Physician | 208000000X | A49489 | CA |
Addresses
Primary practice location
1550 N Imperial Ave
Suite 1
El Centro, CA 92243-6304
Mailing address
516 West Aten Road
Suite 2
Imperial, CA 92251
Phone (760) 355-7730
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110152471 | Other | CA | RAILROAD PIN |
| WA49489F | Other | CA | MEDICARE PTAN |
| ZZZ47481Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| GR0066310 | Medicaid | CA | |
| GR0066312 | Other | CA | MEDI CAL GROUP NUMBER |
| 00A494890 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49489 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1437117959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 WEST ATEN ROAD",
"address_2": "SUITE 2",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "92251",
"telephone_number": "760-355-7730",
"fax_number": "760-355-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N IMPERIAL AVE",
"address_2": "SUITE 1",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922436304",
"telephone_number": "760-352-1731",
"fax_number": "760-337-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "RAJEEV",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A49489",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A49489",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PIN",
"identifier": "110152471",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WA49489F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ47481Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0066310",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL GROUP NUMBER",
"identifier": "GR0066312",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A494890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.