Organization Active NPI

Suneet K Gupta Inc

  • Optometrist
  • Chino Hills, CA
National Provider Identifier
1902120488
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11457 TPL Issued in CA
Legal business name
SUNEET K GUPTA INC
Practice address
3233 Grand Ave
Suite M
Chino Hills, CA 91709-1489
Phone
(909) 591-2034
Fax
(909) 591-2176
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Suneet Gupta, ODNPI 1336234814
Title
Owner
Phone
(909) 591-2034

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11457 TPL CA Primary

Addresses

Primary practice location

3233 Grand Ave
Suite M
Chino Hills, CA 91709-1489

Mailing address

3233 Grand Ave
Suite M
Chino Hills, CA 91709-1489
Phone (909) 591-2034

Other names 1

  • Chino Hills Eyecare Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100414000859 CA Part B Supplier - Clinic/Group Practice 4688701105 Receives reassigned benefits from 3 practitioners
Practice locations: Chino Hills, CA

National Provider Directory

National Provider Directory

Locations

3233 Grand Ave
Ste M
Chino Hills, CA 91709
Phone (909) 591-2034

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1902120488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 GRAND AVE",
            "address_2": "SUITE M",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091489",
            "telephone_number": "909-591-2034",
            "fax_number": "909-591-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 GRAND AVE",
            "address_2": "SUITE M",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091489",
            "telephone_number": "909-591-2034",
            "fax_number": "909-591-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNEET K GUPTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SUNEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-591-2034",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11457 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Hills Eyecare Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chino Hills Eyecare Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.

Verify at the official NPI Registry.