Individual provider Active NPI

Jarnail S Gugga, M.D.

  • Internal Medicine Physician
  • Pomona, CA
National Provider Identifier
1598769846
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A31418 Issued in CA
Practice address
1532 San Bernardino Ave Ste B7
Pomona, CA 91767
Phone
(909) 301-4041
Fax
(909) 301-4042
NPI assigned
Jun 1, 2005
Reactivated
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A31418 CA Primary

Addresses

Primary practice location

1532 San Bernardino Ave Ste B7
Pomona, CA 91767

Mailing address

1532 San Bernardino Ave Ste B7
Pomona, CA 91767-3559
Phone (909) 301-4041

Other practice location 1

741 S Orange Ave Fl 1
West Covina, CA 91790-2662
Phone (626) 338-8484

Other identifiers 1

IdentifierTypeStateIssuer
00A314180MedicaidCA

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
I20101209000627 CA Practitioner - Internal Medicine 7719174291 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A31418CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Current Accepting new patients
Tri-State Community Healthcare Center CurrentSince Mar 1, 2023 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Mar 1, 2023 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
Mohamed K. Pareed M.D. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1535 E Colorado St
Glendale, CA 91205

4137 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 256-5800

3600 E 1st St
Los Angeles, CA 90063
Phone (323) 526-9778

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

1532 San Bernardino Ave
Ste A2
Pomona, CA 91767
Phone (909) 623-2300

1532 San Bernardino Ave
Ste B7
Pomona, CA 91767
Phone (909) 301-4041

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1598769846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE STE B7",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559",
            "telephone_number": "909-301-4041",
            "fax_number": "909-301-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE STE B7",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-301-4041",
            "fax_number": "909-301-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 S Orange Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902662",
            "country_code": "US",
            "telephone_number": "626-338-8484",
            "fax_number": "626-960-6037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGGA",
        "first_name": "JARNAIL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A314180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.