DR. SAURABH GUPTA


Address: 3990 Old Town Ave, Ste. A-208, San Diego, CA 92110-2930
Phone: 6195379345

DR. SAURABH GUPTA (NPI# 1356637185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356637185
Entity Type Individual
Full Name DR. SAURABH GUPTA
Other Name DR. SYRUS GUPTA
Credential PH.D.
Practice Address 3990 Old Town Ave
Ste. A-208
San Diego
CA 92110-2930
Practice Telephone 6195379345
Practice Fax Number 6192699245
Mailing Telephone 6195379345
Mailing Fax Number 6192699245
Enumeration Date 2011-06-20
Last Update Date 2012-08-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY24218 CA Behavioral Health & Social Service Providers
N 103T00000X Psychologist PSY24218 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY24218 CA Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
PSY24218 CA Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
PSY24218 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12258947 01

Other Providers SAURABH GUPTA

NPI Name Taxonomy Address Enumeration
1770934788 Saurabh Gupta Surgery 15 S Exeter St, Baltimore, MD 21202-4603 2016-06-30
1952746802 Saurabh Gupta Radiology 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 2013-05-06
1740381334 Saurabh Gupta Psychiatry & Neurology 100 Rockford Drive, Newark, DE 19713 2006-09-26
1164927059 Saurabh Gupta Student in an Organized Health Care Education/Training Program 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2018-03-24
1992080956 Saurabh Kumar Gupta Occupational Therapist 2075 Nw Highland Ave, Grant Pass, OR 97526 2011-10-20
1275816365 Saurabh Gupta Radiology 3401 Civic Center Blvd, Department of Pediatric Radiology, Philadelphia, PA 19104-4319 2011-09-24
1972884856 Saurabh Gupta Psychiatry & Neurology 500 Commack Rd, Commack, NY 11725-5020 2011-09-06
1336435189 Saurabh Gupta Internal Medicine 2450 Riverside Ave, Minneapolis, MN 55454-1450 2011-06-21
1457669228 Saurabh Gupta Internal Medicine 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 2010-09-15
1578792792 Saurabh C. Gupta Internal Medicine 2100 Erwin Rd, Durham, NC 27710-0001 2009-07-09

Office Location

Street Address 3990 OLD TOWN AVE
STE. A-208
City SAN DIEGO
State CA
Zip Code 92110-2930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053347781 James C Dillard Dr Chiropractic Corporation Chiropractor 3990 Old Town Ave, Ste A-105, San Diego, CA 92110 2006-06-24
1578044517 Nance Lori Lovell Counselor 3990 Old Town Ave, San Diego, CA 92110 2018-08-28
1700307295 Adriana B. Molina, Ph.d. Inc Community/Behavioral Health 3990 Old Town Ave, San Diego, CA 92110-2930 2017-07-05
1336688761 Alexandra Shaw Acupuncturist 3990 Old Town Ave, Ste B107, San Diego, CA 92110-2930 2017-02-17
1386189488 Karen Lese-fowler Psychologist 3990 Old Town Ave, Suite A208, San Diego, CA 92110-2930 2016-12-27
1952733446 Kaija Marshall Student in an Organized Health Care Education/Training Program 3990 Old Town Ave, San Diego, CA 92110-2930 2013-08-06
1306185863 Jay Jankowsky Counselor 3990 Old Town Ave, San Diego, CA 92110-2930 2013-02-04
1124367685 Elizabeth Ann Hewes Counselor 3990 Old Town Ave, C107, San Diego, CA 92110-2930 2013-02-04
1427307370 Jamie Rollins Registered Nurse 3990 Old Town Ave, Suite107, San Diego, CA 92110-2930 2012-09-06
1568710788 Tracey Helene Castro Registered Nurse 3990 Old Town Ave, C107, San Diego, CA 92110-2930 2012-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265045975 Well Psychology, Inc. Clinical Neuropsychologist 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 2020-08-24
1437767399 Ni Sun-suslow Clinical Neuropsychologist 220 Dickinson St # B, San Diego, CA 92103-2071 2020-07-16
1528414430 Mitchel D Pelrman Clinical Neuropsychologist 2430 Palermo Dr, San Diego, CA 92106-1221 2016-05-10
1528468816 Erin Almklov Clinical Neuropsychologist 11512 El Camino Real, 350, San Diego, CA 92130-2087 2014-08-25
1871930404 Mili Parikh Clinical Neuropsychologist 5752 Oberlin Dr # 112, San Diego, CA 92121-1747 2013-05-22
1629329164 Joanna Jacobus Clinical Neuropsychologist 3350 La Jolla Village Dr # Mc151b, San Diego, CA 92161-0002 2012-09-24
1619251790 Barbara Jean Schrock Clinical Neuropsychologist 5989 Cozzens St, San Diego, CA 92122-3724 2011-10-06
1598099657 Cheryl La Sasso Clinical Neuropsychologist 12526 High Bluff Dr Ste 300, San Diego, CA 92130-2067 2009-09-22
1295963288 Delia Maria Silva Clinical Neuropsychologist 1901 1st Ave., Ste 245, San Diego, CA 92101 2009-06-29
1629264130 Spencer Wetter Clinical Neuropsychologist 9648 Caminito Del Feliz, San Diego, CA 92121-1903 2007-09-18
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Competitor

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City SAN DIEGO
Zip Code 92110

Improve Information

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Dataset Information

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.

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