Organization Active NPI

Jarnail S. Gugga MD a Profesional Corporation

  • Pulmonary Disease Physician
  • West Covina, CA
National Provider Identifier
1720173206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A314180 Issued in CA
Legal business name
JARNAIL S. GUGGA MD A PROFESIONAL CORPORATION
Practice address
741 S Orange Ave
1St Floor
West Covina, CA 91790
Phone
(626) 338-8484
Fax
(626) 960-6037
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jarnail S Gugga, M.D.
Title
Owner
Phone
(626) 338-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A314180 CA Primary

Addresses

Primary practice location

741 S Orange Ave
1St Floor
West Covina, CA 91790

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00A314186MedicaidCA

National Provider Directory

National Provider Directory

Locations

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

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720173206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-338-8484",
            "fax_number": "626-960-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-338-8484",
            "fax_number": "626-960-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARNAIL S. GUGGA MD A PROFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUGGA",
        "authorized_official_first_name": "JARNAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-338-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A314180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A314186",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.