Organization Active NPI

Sameer Gupta MD a Medical Corporation

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1477986784
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A87331 Issued in CA
Legal business name
SAMEER GUPTA MD A MEDICAL CORPORATION
Practice address
2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone
(858) 735-9879
NPI assigned
Aug 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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

Authorized official

Name
Sameer Gupta, MDNPI 1720287436
Title
President
Phone
(858) 735-9879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X A87331 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A87331 CA Primary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X A87331 CA

Addresses

Primary practice location

2023 W Vista Way
Suite D
Vista, CA 92083-6030

Mailing address

2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone (858) 735-9879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130909000725 CA Part B Supplier - Clinic/Group Practice 9133363336 Receives reassigned benefits from 2 practitioners
Practice locations: Chula Vista, CA; National City, CA; San Marcos, CA; Temecula, CA; Vista, CA

National Provider Directory

National Provider Directory

Locations

1030 La Bonita Dr
San Marcos, CA 92078
Phone (760) 471-1880

41715 Winchester Rd
Ste 206
Temecula, CA 92590
Phone (909) 295-0795

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376179200000",
    "number": "1477986784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY",
            "address_2": "SUITE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "858-735-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY",
            "address_2": "SUITE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "858-735-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMEER GUPTA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-735-9879",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A87331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87331",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A87331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; 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.