SHASHANK GUPTA MD
NPI 1336728740
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 04, 2021PECOS Enrolled
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shashank Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASHANK GUPTA MD (NPI 1336728740) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336728740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHASHANK GUPTACredential: MD
Location Address11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C'Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804 · (909) 558-4074
Sole ProprietorNo
Enumeration DateApril 4, 2021
NPPES CertifiedApril 4, 2021
✔ NPI 1336728740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shashank Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shashank Gupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shashank Gupta's NPI number?

The NPI number for Shashank Gupta is 1336728740. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Shashank Gupta located?

Shashank Gupta practices at 11234 Anderson St Gme Office Westerly Suite 'c', Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Shashank Gupta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shashank Gupta enrolled in Medicare?

Yes. Shashank Gupta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shashank Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shashank Gupta reassigns Medicare benefits to 2 organizations: Beaver Medical Group P C (Redlands, CA) and Southern California Permanente Medical Group (Anaheim, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shashank Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shashank Gupta was last updated on April 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.