Active NPI
Abhay Gupta, M.D., Inc.
Doing business as Gupta Plastic Surgery
- Plastic Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A88550
- Legal business name
- ABHAY GUPTA, M.D., INC.
- Doing business as
- Gupta Plastic Surgery
- Practice address
- 10672 Wexford St
Suite 275
San Diego, CA 92131-3969 - Phone
- (858) 621-6000
- Fax
- (858) 621-6340
- NPI assigned
- Apr 1, 2009
- Last updated
- May 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abhay Gupta, M.D.
- Title
- President / Medical Director
- Phone
- (858) 621-6000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A88550 | CA | Primary |
Addresses
Primary practice location
10672 Wexford St
Suite 275
San Diego, CA 92131-3969
Mailing address
10672 Wexford St
Suite 275
San Diego, CA 92131-3969
Phone (858) 621-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A88550 | Other | CA | STATE LICENSE |
Other names 1
- Gupta Plastic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10672 Wexford St
Ste 275
San Diego, CA 92131
Phone (858) 621-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1629165428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1831331198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10672 WEXFORD ST",
"address_2": "SUITE 275",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313969",
"telephone_number": "858-621-6000",
"fax_number": "858-621-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10672 WEXFORD ST",
"address_2": "SUITE 275",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313969",
"telephone_number": "858-621-6000",
"fax_number": "858-621-6340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABHAY GUPTA, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ABHAY",
"authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
"authorized_official_telephone_number": "858-621-6000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A88550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A88550",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gupta Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.