Organization Active NPI

Neelam Gupta M.D. Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • San Jacinto, CA
National Provider Identifier
1770831489
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NEELAM GUPTA M.D. INC.
Doing business as
Hemacinto Sleep
Practice address
343 E Main Street
106
San Jacinto, CA 92583
Phone
(951) 654-9367
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

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

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
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

343 E Main Street
106
San Jacinto, CA 92583

Mailing address

343 E Main Street
106
San Jacinto, CA 92583

Other names 1

  • Hemacinto Sleep Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141020002655 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6709007503 Practice locations: San Jacinto, CA

National Provider Directory

National Provider Directory

Locations

341 E Main St
Ste 106
San Jacinto, CA 92583

343 E Main St
Ste 106
San Jacinto, CA 92583
Phone (951) 654-9367

341 E Main St
Ste 100
San Jacinto, CA 92583
Phone (951) 654-5590

Practitioners & affiliated clinicians

Practitioners 2

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": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1770831489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAIN STREET",
            "address_2": "106",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN STREET",
            "address_2": "106",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583",
            "telephone_number": "951-654-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELAM GUPTA M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-654-9367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemacinto Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.