Praveen Gupta a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A25680 Issued in CA

Legal business name

PRAVEEN GUPTA A MEDICAL CORPORATION

Practice address

10542 Venice Blvd
Culver City, CA 90232-3308

Phone

(310) 559-0575

Fax

(310) 839-5473

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Praveen Gupta, MDNPI 1649386707

Title

MD

Phone

(310) 430-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praveen Gupta, M.D.

  • Obstetrics & Gynecology Physician
  • Culver City, CA
  • NPI 1649386707
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1891295408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10542 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323308",
            "telephone_number": "310-559-0575",
            "fax_number": "310-839-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323308",
            "telephone_number": "310-559-0575",
            "fax_number": "310-839-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 Van Nuys Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031812",
            "country_code": "US",
            "telephone_number": "818-905-5525",
            "fax_number": "310-839-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAVEEN GUPTA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-430-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A25680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Precision Surgical Consultants LLC
• Ardmond Rushoune Pree

• Obstetrics & Gynecology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.