DR. JIWAN P GUPTA (NPI# 1053305458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053305458 |
Entity Type | Individual |
Full Name | DR. JIWAN P GUPTA |
Credential | M.D. |
Practice Address |
3100 W Warner Ave Santa Ana CA 92704 |
Mailing Address |
Po Box 54292 Irvine CA 92619-4292 |
Practice Telephone | 9496483878 |
Mailing Telephone | 9496483878 |
Mailing Fax Number | 9494866364 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | A37323 | CA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | A37323 | CA | Allopathic & Osteopathic Physicians |
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
A37323 | CA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861880775 | Jiwan L. Gupta | Dietitian, Registered | 2515 Business Center Dr, Pearland, TX 77584-2294 | 2014-12-30 |
Street Address |
3100 W WARNER AVE |
City | SANTA ANA |
State | CA |
Zip Code | 92704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184260879 | Abdurrahhim Lee | Physical Therapist | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2019-11-18 |
1700353950 | American Current Care of California, A Medical Corporation | Clinic/Center | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2018-10-25 |
1619444866 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2018-10-25 |
1073986717 | U.S. Healthworks Medical Group, PC | Clinic/Center | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2015-11-03 |
1669548707 | Steven L Ryder | Physician Assistant | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-11-28 |
1144317124 | Laurence J. Lasky, Md | Clinic/Center | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-10-09 |
1114034063 | Michelle Ann Leslie | Physical Therapy Assistant | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-08-25 |
1134130065 | Scot L Cain | Physical Therapy Assistant | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-08-09 |
1023027372 | Lynette Kay Colyer Fultz | Physical Therapy Assistant | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-08-05 |
1790719185 | Robert P Hansen | Physical Therapist | 3100 W Warner Ave, Santa Ana, CA 92704-5331 | 2006-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
Find all providers in zip 92704 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
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1720688708 | Kings Industrial Occupational Medical Center Inc | Clinic/Center | 936 G St Ste B, Reedley, CA 93654-2627 | 2020-10-28 |
1467067280 | Michael Scott Weiner | Clinic/Center | 2388 Ginger Cir, Newbury Park, CA 91320-3349 | 2020-09-09 |
1790396547 | Oak Valley Hospital District | Clinic/Center | 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 | 2020-08-14 |
1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
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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.