DR. JIWAN P GUPTA M.D.
NPI 1053305458
General Practice in Irvine, CA
About Dr. Jiwan P Gupta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIWAN P GUPTA M.D. (NPI 1053305458) is an individual general practice provider in Irvine, California, licensed in California (A37323) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mission Viejo.
NPPES Registry Identity
Specialties & Licenses 3
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jiwan P Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053305458, enumerated as an "individual" on August 31, 2005.
The provider is located at 14795 JEFFREY RD STE 204 IRVINE, CA 92618 and the phone number is (949) 486-4411.
General Practice with taxonomy code 208D00000X.