Organization Active NPI

Anuj Gupta MD Corporation

  • Interventional Pain Medicine Physician
  • Vista, CA
National Provider Identifier
1649592981
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A85939 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Anuj Gupta, MDNPI 1073629549
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DR1641OtherMEDICARE RAIL ROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000784 CA Part B Supplier - Clinic/Group Practice 7911039243 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA; Vista, CA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.