SAMIR GUPTA (NPI# 1023127057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023127057 |
| Entity Type | Individual |
| Full Name | SAMIR GUPTA |
| Credential | MD |
| Practice Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 8585528585 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A78715 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183520901 | 05 | |
| CA | MEDICAL BOARD OF CALIFORNIA MEDICAL LICENSE | A78715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770780728 | Samir Gupta | Dentist | 7615 Dallas Dr, Austin, TX 78729-7774 | 2007-07-02 |
| 1902383607 | Samir Gupta | Dentist | 110 Lincoln Hwy, Fairless Hills, PA 19030-1011 | 2018-07-25 |
| 1558478693 | Samir K Gupta | Anesthesiology | 110 Irving St Nw, Washington, DC 20010 | 2006-08-24 |
| 1073542585 | Samir K. Gupta | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-30 |
| 1932164019 | Samir K Gupta | Internal Medicine | 1001 W 10th St, Opw 430, Indianapolis, IN 46202-2859 | 2006-04-20 |
| 1861457178 | Samir Gupta | Psychiatry & Neurology | 601 Wall St, Valparaiso, IN 46383-2512 | 2006-04-19 |
| 1407844517 | Samir K Gupta | Pathology | 333 Madison St, Joliet, IL 60435-8200 | 2005-10-12 |
| Street Address |
3350 LA JOLLA VILLAGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
| 1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
| 1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
| 1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
| 1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
| 1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
| 1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
| 1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932429842 | Veeral Haresh Ajmera | Internal Medicine | 4168 Front St Fl 2, San Diego, CA 92103-2030 | 2010-06-03 |
| 1033434071 | Cainan Foltz | Internal Medicine | 8008 Frost St Ste 200, San Diego, CA 92123-4207 | 2010-04-01 |
| 1750618765 | Golden Coast Management Inc | Internal Medicine | 4809 Clairemont Dr, Ste 302, San Diego, CA 92117-2706 | 2009-11-11 |
| 1538334974 | Alexander Shpaner | Internal Medicine | 6719 Alvarado Rd Ste 206, San Diego, CA 92120-5261 | 2008-04-27 |
| 1447464912 | Ivan Cubas | Internal Medicine | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2007-05-10 |
| 1992892707 | Vijayalakshmi S Pratha | Internal Medicine | 3330 3rd Ave Ste 304, San Diego, CA 92103-5639 | 2006-10-05 |
| 1730270380 | Tuan Nguyen | Internal Medicine | 4141 Fairmount Ave, Suite #201, San Diego, CA 92105-1609 | 2006-09-27 |
| 1063522613 | Daniel Young Lee | Internal Medicine | 8008 Frost St., #200, San Diego, CA 92123-4205 | 2006-08-30 |
| 1972569713 | Thomas Anthony Rauner | Internal Medicine | 4020 Fifth Ave, San Diego, CA 92103-2106 | 2006-04-21 |
| 1225019300 | Norman J Goldberg | Internal Medicine | Va Medical Center 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2005-11-07 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on SAMIR GUPTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.