Active NPI
Saurabh Kumar Gupta
- Occupational Therapist
- Grant Pass, OR
National Provider Identifier
1992080956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 284998
- Practice address
- 2075 NW Highland Ave
Grant Pass, OR 97526 - Phone
- (541) 476-8891
- Fax
- (541) 476-2679
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 284998 | OR | Primary |
Addresses
Primary practice location
2075 NW Highland Ave
Grant Pass, OR 97526
Mailing address
333 First Street North,
C/O Stani Veljaca, Suite 200
Jacksonville Beach, FL 32250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284998 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1992080956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 FIRST STREET NORTH,",
"address_2": "C/O STANI VELJACA, SUITE 200",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "32250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 NW HIGHLAND AVE",
"city": "GRANT PASS",
"state": "OR",
"postal_code": "97526",
"telephone_number": "541-476-8891",
"fax_number": "541-476-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SAURABH",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "284998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grant Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.