Active NPI
Anuj Gupta MD Corporation
- Interventional Pain Medicine Physician
- Vista, CA
National Provider Identifier
1649592981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A85939
- Legal business name
- ANUJ GUPTA MD CORPORATION
- Practice address
- 2023 W Vista Way
Suite D
Vista, CA 92083-6030 - Phone
- (619) 330-8771
- Fax
- (619) 330-8772
- NPI assigned
- Feb 26, 2010
- Last updated
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anuj Gupta, MD
- Title
- Owner
- Phone
- (619) 330-8771
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | A85939 | CA | |
| Anesthesiology Physician | 207L00000X | A85939 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A85939 | CA | Primary |
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 (619) 330-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR1641 | Other | MEDICARE RAIL ROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5670 El Camino Real
Ste F
Carlsbad, CA 92008
Phone (760) 420-8848
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Vista, CA
- NPI 1790340073
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1649592981",
"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": "619-330-8771",
"fax_number": "619-330-8772"
},
{
"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": "619-330-8771",
"fax_number": "619-330-8772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANUJ GUPTA MD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ANUJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-330-8771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "CA",
"license": "A85939",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A85939",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A85939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "DR1641",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
- Anton Corp (Med-Rx Pharmacy and Compounding)
- Anton Corp (Med Rx Pharmacy and Compounding)
- David Christopher Antonetti, LMFT
- Sara Antos
- Dunya Antwan, DDS
- Anuj Gupta, M.D., Corporation (Advanced Pain Management)
- Rebecca Apana, PSY.D.
- Nima Arabani, D.C., M.A.O.M., L.AC
- Mahdieh Arabshahi
- Aralez Home Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.