Individual provider Active NPI

Sudhir Gupta, MD

  • Allergy & Immunology Physician
  • Irvine, CA
National Provider Identifier
1811077969
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A39046 Issued in CA
Practice address
1 Medical Plaza Drive
Irvine, CA 92697-0001
Phone
(949) 824-8600
Fax
(855) 209-8413
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 000000A39046 CA
Allergy & Immunology Physician 207K00000X A39046 CA Primary

Addresses

Primary practice location

1 Medical Plaza Drive
Irvine, CA 92697-0001

Mailing address

Uci Department of Medicine 1 Medical Plaza Drive
Irvine, CA 92697-0001
Phone (888) 717-4463

Other practice location 1

101 The City Dr S Bldg 30
Orange, CA 92868-3201
Phone (714) 456-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001391 CA Practitioner - Allergy/Immunology 1658457023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Suite 14091
Orange, CA 92863-1491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A39046CAMDAllergy & Immunology Physician
000000A39046CAMDAdolescent Medicine (Internal Medicine) Physician
39046CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine CurrentSince Oct 25, 1992 Accepting new patients
University of California Irvine CurrentSince Oct 25, 1992 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
UC Regents Past Accepting new patients
University of California Irvine Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Fl 2
Orange, CA 92868
Phone (714) 456-5547

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1811077969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCI DEPARTMENT OF MEDICINE 1 MEDICAL PLAZA DRIVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926970001",
            "telephone_number": "888-717-4463",
            "fax_number": "714-456-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DRIVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926970001",
            "telephone_number": "949-824-8600",
            "fax_number": "855-209-8413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S Bldg 30",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-7720",
            "fax_number": "855-209-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUDHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "000000A39046",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A39046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.