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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 12258947 | 01 |
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 |
Street Address |
3990 OLD TOWN AVE STE. A-208 |
City | SAN DIEGO |
State | CA |
Zip Code | 92110-2930 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 92110 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in SAN DIEGO |
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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.