Active NPI
Pooja Gupta, DO
- Family Medicine Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8214
- Practice address
- 400 N Pepper Ave
Arrowhead Regional Medical Center
Colton, CA 92324-1819 - Phone
- (909) 580-6240
- Fax
- (909) 580-6308
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8214 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Arrowhead Regional Medical Center
Colton, CA 92324-1819
Mailing address
PO Box 5157
San Bernardino, CA 92412-5157
Phone (909) 580-6240
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726001110 | CA | Practitioner - Family Practice | 7416927710 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vituity Physician Services PCVituity Healthcare Services PCCounty of San Bernardino
Practice addresses (Care Compare)
16888 Baseline Ave
Fontana, CA 92336-2083
Phone (855) 422-8029
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000
Hospital & facility affiliations
- Arrowhead Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8214 | CA | MD | Family Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| Vituity Healthcare Services PC | Family Medicine | Current | Accepting new patients |
| Vituity Physician Services PC | Family Medicine | Current | Accepting new patients |
Locations
400 N Pepper Ave
Ste 301
Colton, CA 92324
Phone (909) 580-3366
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 11
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
CA
-
- Family Medicine Physician
- Colton, CA
- NPI 1700642758
CA, Family Medicine
-
- Family Medicine Physician
- Fontana, CA
- NPI 1124884176
CA, Family Medicine
-
- Public Health or Welfare Agency
- Adelanto, CA
- NPI 1285870469
-
- General Acute Care Hospital
- Colton, CA
- NPI 1548330822
-
- Public Health or Welfare Agency
- Ontario, CA
- NPI 1588834451
-
- Psychiatric Hospital Unit
- Colton, CA
- NPI 1639249915
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
-
- Public Health or Welfare Agency
- Hesperia, CA
- NPI 1861662025
-
- Public Health or Welfare Agency
- San Bernardino, CA
- NPI 1578535845
-
- Land Ambulance
- San Bernardino, CA
- NPI 1700947488
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497762355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5157",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924125157",
"telephone_number": "909-580-6240",
"fax_number": "909-580-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"address_2": "ARROWHEAD REGIONAL MEDICAL CENTER",
"city": "COLTON",
"state": "CA",
"postal_code": "923241819",
"telephone_number": "909-580-6240",
"fax_number": "909-580-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "POOJA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.