NPIMap

Organization Active NPI

Megha Nayyar Gupta MD Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
National Provider Identifier
1669234670
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEGHA NAYYAR GUPTA MD INC.
Practice address
13010 Hesperia Rd
Victorville, CA 92395-5837
Phone
(760) 728-1900
NPI assigned
Jan 25, 2024
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Megha GuptaNPI 1841641347
Title
MD
Phone
(760) 486-4643

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
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

13010 Hesperia Rd
Victorville, CA 92395-5837

Mailing address

PO Box 2490
Indianapolis, IN 46206-2490
Phone (760) 728-1900

Other practice location 1

12490 Business Center Dr Ste 200
Victorville, CA 92395-5833
Phone (760) 728-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, IL, MI, WA, NV6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20240328000422 CA Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 25 practitioners
Practice locations: Redlands, CA; Riverside, CA; San Diego, CA; San Francisco, CA; Irvine, CA; San Gabriel, CA; San Luis Obispo, CA; South Pasadena, CA…
O20240412003427 NY Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 2 practitioners
Practice locations: Poughkeepsie, NY
O20240513002415 IL Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 2 practitioners
Practice locations: Woodstock, IL; Round Lake Beach, IL
O20240920003466 MI Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, MI
O20241219001044 WA Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA
O20241219001304 NV Part B Supplier - Clinic/Group Practice 2062859887 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

12490 Business Center Dr
Ste 200
Victorville, CA 92395

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1669234670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2490",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062490",
            "telephone_number": "760-728-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955837",
            "telephone_number": "760-728-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12490 Business Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955833",
            "country_code": "US",
            "telephone_number": "760-728-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEGHA NAYYAR GUPTA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MEGHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-486-4643"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.