Brij Gupta MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A43950 Issued in CA

Legal business name

BRIJ GUPTA MD INC

Practice address

10158 Buena Vista Ave
Santee, CA 92071-4435

Phone

(619) 562-1140

Fax

(619) 562-5362

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Terri Woolley

Title

Office Manager

Phone

(619) 562-1140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Brij Gupta, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1174532543
  Medicare reassignment NPD

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1982875464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 BUENA VISTA AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714435",
            "telephone_number": "619-562-1140",
            "fax_number": "619-562-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 BUENA VISTA AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714435",
            "telephone_number": "619-562-1140",
            "fax_number": "619-562-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIJ GUPTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "WOOLLEY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-562-1140"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E. Bragunier, M.P.T.
• Ramanpreet Brar
• Breaking the Cycle Counseling
• Carol Ann Bremner-Einsidler, LMFT
• Bright Non Emergency Medical Transportation
• Todd Philip Brilliant, D.D.S.
• Kenneth Dean Brinegar, DC
• Sharyqeen Nykisha Britton Smith
• Ronald Alexander Brizuela-Garcia, IDC
• Barbara Elizabeth Brown, OTR

• Internal Medicine Physician in Santee, CA
• Providers in Santee, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.