NPIMap

R & N Gupta MD Professional Corporation

Organization Active NPI Internal Medicine Physician · San Jacinto, CA

NPI 1730535261 · NPPES record last updated Sep 2, 2016

Key facts

NPI
1730535261
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
R & N GUPTA MD PROFESSIONAL CORPORATION
Practice address
341 E Main St
Ste 100
San Jacinto, CA 92583-4205
Phone
(951) 654-9367
NPI assigned
May 13, 2016
Organization subpart
No

Authorized official

Name
Dr. Neelam Gupta, M.D. NPI 1922289628
Title
Ceo
Phone
(951) 654-9367

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20161114001642 CA Part B Supplier - Clinic/Group Practice 1759660897 Receives reassigned benefits from 8 practitioners
Practice locations: San Jacinto, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

341 E Main St
Ste 100
San Jacinto, CA 92583-4205

Mailing address

341 E Main St
Ste 100
San Jacinto, CA 92583-4205
Phone (951) 654-9367

Other names

  • Patient First Physicians Group Doing business as

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.