Individual provider Active NPI

Ravi Gupta, MD

  • Cardiovascular Disease Physician
  • Panorama City, CA
National Provider Identifier
1972504520
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A45396 Issued in CA
Practice address
8737 Van Nuys Blvd
Panorama City, CA 91402-2401
Phone
(818) 810-6429
Fax
(818) 810-6479
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A45396 CA Primary

Addresses

Primary practice location

8737 Van Nuys Blvd
Panorama City, CA 91402-2401

Mailing address

8737 Van Nuys Blvd
Panorama City, CA 91402-2401
Phone (818) 810-6429

Other identifiers 1

IdentifierTypeStateIssuer
00A453961MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001369 CA Practitioner - Cardiovascular Disease (Cardiology) 6800848409 Practice locations: Panorama City, CA; Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8737 Van Nuys Blvd
Panorama City, CA 91402-2401
Phone (818) 810-6429

Hospital & facility affiliations

  • Golden Day Home Health, Inc. Home health agency, Glendale, CA, CCN 757181
  • Omnia Hospice, Inc Hospice, Glendale, CA, CCN B31668
  • Reality Care Hospice, Inc. Hospice, Glendale, CA, CCN B41755
  • Maple Hospice, Inc Hospice, Sun Valley, CA, CCN B41674
  • Treasure Care Hospice, Inc. Hospice, La Crescenta, CA, CCN B41654
  • Archo Group, Inc Hospice, Van Nuys, CA, CCN B41506
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45396CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Gupta M D Inc Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ravi.gupta@rg.direct-geniusdoc.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Treasure Care Hospice IncLa Crescenta, CA, CCN B41654 Hospice W-2 Managing Employee Jul 1, 2025
Maple Hospice IncSun Valley, CA, CCN B41674 Hospice Contracted Managing Employee Dec 1, 2025

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 2

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 7

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1972504520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-810-6429",
            "fax_number": "818-810-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-810-6429",
            "fax_number": "818-810-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAVI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A45396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.