Individual provider Active NPI

Rahael Rohini Gupta, MD

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1912468299
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A181810 Issued in CA
Practice address
525 Cordova St
Pasadena, CA 91101-2552
Phone
(818) 643-5083
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X PTL1300 CA
Psychiatry Physician 2084P0800X A181810 CA Primary

Addresses

Primary practice location

525 Cordova St
Pasadena, CA 91101-2552

Mailing address

525 Cordova St
Pasadena, CA 91101-2552
Phone (818) 643-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181810CAMDPsychiatry Physician
PTL1300CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adelpha Psychiatric Group, Inc. Psychiatry PastSince Aug 4, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rahael.gupta.1@12972.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1912468299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CORDOVA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012552",
            "telephone_number": "818-643-5083",
            "fax_number": "818-643-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CORDOVA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012552",
            "telephone_number": "818-643-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAHAEL",
        "middle_name": "ROHINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "PTL1300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A181810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.