DR. JIWAN P GUPTA M.D. NPI 1053305458

NPI Information

NPI: 1053305458
Provider Name: DR. JIWAN P GUPTA, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14795 JEFFREY RD STE 204
IRVINE, CA
ZIP 92618
Phone: (949) 486-4411
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DR. Jiwan P Gupta, M.D. is a general practice in Irvine, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Jiwan P Gupta, M.D. NPI is 1053305458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14795 JEFFREY RD STE 204
IRVINE, CA
ZIP 92618-417
Phone: (949) 486-4411

The NPI 1053305458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 5/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	A37323	CALIFORNIA	No
2	207L00000X	Anesthesiology		A37323	CALIFORNIA	No
3	208D00000X	General Practice		A37323	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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