Individual provider Active NPI

Ravi K Gupta, M.D.

  • Diagnostic Radiology Physician
  • Rancho Mission Viejo, CA
National Provider Identifier
1548587306
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A120602 Issued in CA
Practice address
28881 Airoso St Unit 110
Rancho Mission Viejo, CA 92694-2487
Phone
(949) 682-2600
NPI assigned
May 3, 2010
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A120602 CA Primary

Addresses

Primary practice location

28881 Airoso St Unit 110
Rancho Mission Viejo, CA 92694-2487

Mailing address

PO Box 280
Rancho Mirage, CA 92270-0280
Phone (760) 837-8449

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 674-3850

Other identifiers 3

IdentifierTypeStateIssuer
CA208362OtherCAMEDICARE
1548587306MedicaidCA
PO1790359OtherCARRMC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611001996 CA Practitioner - Diagnostic Radiology 3072834324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
St Joseph Hospital
Orange, CA 92868-3891
Phone (714) 771-8171

31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone (949) 499-1311

395 W Avenida Vista Hermosa
Unit K
San Clemente, CA 92672-7720
Phone (918) 392-1702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
85.63
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120602CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Orange County Heart Institute and Research Center a Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Tyson C. Cobb, M.D., Inc PastSince Oct 13, 2008 Accepting new patients
Hni Medical Services of California, PC Past Accepting new patients
Jeffrey M. Shapiro, MD, Inc PastSince Apr 1, 2023 Accepting new patients

Locations

781 S Weir Canyon Rd
Ste 185
Anaheim, CA 92808
Phone (714) 282-8160

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

12942 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 705-2120

31872 Coast Hwy
Ste N
Laguna Beach, CA 92651

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26732 Crown Valley Pkwy
Ste 171
Mission Viejo, CA 92691
Phone (714) 364-3484

27800 Medical Center Rd
Ste 108
Mission Viejo, CA 92691
Phone (949) 348-1103

1010 W La Veta Ave
Ste 400
Orange, CA 92868
Phone (714) 734-6282

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

1140 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (714) 543-8555

1031 W Chapman Ave
Ste 101
Orange, CA 92868
Phone (714) 763-5502

845 W La Veta Ave
Ste 105
Orange, CA 92868
Phone (714) 289-6565

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

431 S Batavia St
Ste 103
Orange, CA 92868
Phone (714) 538-6731

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1548587306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922700280",
            "telephone_number": "760-837-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28881 AIROSO ST UNIT 110",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926942487",
            "telephone_number": "949-682-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-674-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAVI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A120602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA208362",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548587306",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "PO1790359",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.