Organization Active NPI

Smita R. Gupta MD Inc

  • Medical Specialty Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1659649150
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A101037 Issued in CA
Legal business name
SMITA R. GUPTA MD INC
Practice address
1250 6TH St Ste 203
Santa Monica, CA 90401-1637
Phone
(424) 259-2889
Fax
(424) 229-9943
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Dr. Smita Rani Gupta, MDNPI 1245394360
Title
Owner
Phone
(267) 981-6724

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A101037 CA Primary

Addresses

Primary practice location

1250 6TH St Ste 203
Santa Monica, CA 90401-1637

Mailing address

1217 Wilshire Blvd # 3367
Santa Monica, CA 90403-5466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000664 CA Part B Supplier - Clinic/Group Practice 8022283357 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

1250 6th St
Ste 203
Santa Monica, CA 90401
Phone (424) 259-2889

1137 2nd St
Ste 100
Santa Monica, CA 90403
Phone (424) 259-2889

1217 Wilshire Blvd
#3367
Santa Monica, CA 90403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1659649150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILSHIRE BLVD # 3367",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 6TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011637",
            "telephone_number": "424-259-2889",
            "fax_number": "424-229-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITA R. GUPTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SMITA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-981-6724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A101037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.