DR. MANJUSHA GUPTA (NPI# 1609077197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609077197 |
| Entity Type | Individual |
| Full Name | DR. MANJUSHA GUPTA |
| Credential | MD |
| Practice Address |
1866 N Orange Grove Ave Suite # 102 Pomona CA 91767-3031 |
| Mailing Address |
840 Towne Center Dr Pomona CA 91767-5900 |
| Practice Telephone | 9098650676 |
| Practice Fax Number | 9098658483 |
| Mailing Telephone | 9093981550 |
| Mailing Fax Number | 9093981573 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A102011 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1609077197 | 05 |
| Street Address |
1866 N ORANGE GROVE AVE SUITE # 102 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003817537 | Kenneth Spiers Brown | Internal Medicine | 1866 N Orange Grove Ave, Ste 102, Pomona, CA 91767-3031 | 2005-08-09 |
| 1174815427 | Tatiana Sams | Internal Medicine | 1866 N Orange Grove Ave, Suite # 104, Pomona, CA 91767-3031 | 2011-05-04 |
| 1548566284 | Richard M Deits | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2011-01-27 |
| 1336443100 | Puneet Ghayal | Internal Medicine | 1866 N Orange Grove Ave, Suite # 202, Pomona, CA 91767-3031 | 2011-01-07 |
| 1629381827 | Erin Allyson Kopp | Nurse Practitioner | 1866 N Orange Grove Ave, Suite 202, Pomona, CA 91767-3031 | 2010-07-16 |
| 1689837171 | Nilem Patel | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2008-07-07 |
| 1144494550 | Gaurav R Parikh | Internal Medicine | 1866 N Orange Grove Ave, Suite 202, Pomona, CA 91767-3031 | 2008-04-16 |
| 1861690141 | Nitanth Reddy Vangala | Internal Medicine | 1866 N Orange Grove Ave, Suite # 202, Pomona, CA 91767-3031 | 2007-07-06 |
| 1316140619 | Internal Medicine Medical Group | Internal Medicine | 1866 N Orange Grove Ave, Suite 102, Pomona, CA 91767-3031 | 2007-06-06 |
| 1497809297 | Cmg Clinical Laboratory and Ancillary Services, Inc. | Nuclear Medicine | 1866 N Orange Grove Ave, Suite #101, Pomona, CA 91767-3031 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1942777131 | Myungha Sohn | Internal Medicine | 1902 Royalty Dr Ste 140, Pomona, CA 91767-3038 | 2018-10-26 |
| 1841766110 | Park Preventative Care LLC | Internal Medicine | 11 Medical Park Dr Ste 101, Pomona, NY 10970-3559 | 2018-10-15 |
| 1598122418 | Chaparral Medical Group, Inc. | Internal Medicine | 520 E. Foothill Blvd. Suites C & A, Pomona, CA 91767-1200 | 2016-01-22 |
| 1275878514 | Shauna Sue Mcginnis | Internal Medicine | 1880 N. Orange Grove Ave, Pomona, CA 91767-3006 | 2012-11-27 |
| 1083972285 | Stefanus Muljana Md Inc | Internal Medicine | 724 N Garey Ave, Pomona, CA 91767-4614 | 2012-04-25 |
| 1295015972 | Mirza Medical P.C. | Internal Medicine | 978 Route 45 Ste 109, Pomona, NY 10970-3512 | 2011-08-25 |
| 1811227564 | Western University of Health Sciences | Internal Medicine | 795 E. Second St, Suite 4, Pomona, CA 91766-2007 | 2009-12-31 |
| 1417184201 | Herman Geller Md, Inc. | Internal Medicine | 297b W Artesia St, Pomona, CA 91768-1808 | 2009-06-18 |
| 1417199167 | Kenneth S Brown Md A Professional Corporation | Internal Medicine | 1866 North Orange Grove Ave., Suite 102, Pomona, CA 91767-3031 | 2009-03-26 |
| 1194986372 | Anna Varghese | Internal Medicine | 54 Tamarack Ln, Pomona, NY 10970-2012 | 2008-06-20 |
| Find all providers in POMONA | ||||
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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.