NPIMap

Individual provider Active NPI

Rakesh Chander Gupta, MD

  • Pulmonary Disease Physician
  • San Jacinto, CA
National Provider Identifier
1871574996
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A44586 Issued in CA
Practice address
341 E Main St
Suite 100
San Jacinto, CA 92583-4231
Phone
(951) 654-5590
Fax
(951) 654-0839
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A44586 CA Primary

Addresses

Primary practice location

341 E Main St
Suite 100
San Jacinto, CA 92583-4231

Mailing address

341 E Main St
Suite 100
San Jacinto, CA 92583-4231
Phone (951) 654-5590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000454 CA Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8628115201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Geriatric Medicine, Internal Medicine, Sleep Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

341 E Main St
Suite 100
San Jacinto, CA 92583-4206
Phone (951) 654-5590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.51
Improvement activities
40
Cost
79.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44586CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramona Specialists, Inc. Pulmonary Disease CurrentSince Oct 30, 2009 Accepting new patients
Neelam Gupta M.D. Inc. CurrentSince Jul 29, 2014 Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Ramona Medical Clinic Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

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

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

27994 Bradley Rd
Ste E
Sun City, CA 92586
Phone (951) 672-8384

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rakesh.gupta@rsinc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Valley Healthcare CenterHemet, CA, CCN 555623 Skilled nursing facility Corporate Officer
Corporate Director		 Oct 13, 2010
Sep 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1871574996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E MAIN ST",
            "address_2": "SUITE 100",
            "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",
            "address_2": "SUITE 100",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834231",
            "telephone_number": "951-654-5590",
            "fax_number": "951-654-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAKESH",
        "middle_name": "CHANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A44586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.