Organization Active NPI

Anuj Gupta, M.D., Corporation

  • Non-Pharmacy Dispensing Site
  • Vista, CA
National Provider Identifier
1801229661
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A85939 Issued in CA
Legal business name
ANUJ GUPTA, M.D., CORPORATION
Doing business as
Advanced Pain Management
Practice address
2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone
(619) 330-8771
Fax
(619) 330-8772
NPI assigned
Aug 15, 2013
Organization subpart
Yes
Parent organization
ANUJ GUPTA, M.D., CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Anuj Gupta, MDNPI 1073629549
Title
Medical Director
Phone
(619) 330-8771

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
Non-Pharmacy Dispensing Site 332900000X A85939 CA Primary

Addresses

Primary practice location

2023 W Vista Way
Suite D
Vista, CA 92083-6030

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

Other names 1

  • Advanced Pain Management Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2027578Advanced Pain Management2023 W Vista Way Ste D, Vista, CA 92083Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory
Part of
Anuj Gupta MD Corporation

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": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1801229661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY",
            "address_2": "SUITE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "619-330-8771",
            "fax_number": "619-330-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUJ GUPTA, M.D., CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANUJ GUPTA, M.D., CORPORATION",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-330-8771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A85939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.