Neelam Gupta

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A45395 Issued in CA

Legal business name

NEELAM GUPTA

Practice address

341 E Main St
San Jacinto, CA 92583-4231

Phone

(951) 654-5590

Fax

(951) 654-0839

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Neelma Gupta, M.D.

Title

Office Manager

Phone

(951) 654-5590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1811030893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "telephone_number": "951-654-5590",
            "fax_number": "951-654-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "telephone_number": "951-654-5590",
            "fax_number": "951-654-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELAM GUPTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEELMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-654-5590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A45395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.