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DR. SAURABH GUPTA PH.D.
NPI 1356637185
Clinical Neuropsychologist in San Diego, CA

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
3990 OLD TOWN AVE, STE. A-208, SAN DIEGO, CA 92110(619) 537-9345(619) 269-9245 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Saurabh Gupta Ph.d. NPPES

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

DR. SAURABH GUPTA PH.D. (NPI 1356637185) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY24218) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356637185
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. SAURABH GUPTACredential: PH.D.
Location Address3990 OLD TOWN AVE, STE. A-208San Diego, CA 92110-2930
Mailing Address3990 Old Town Ave, Ste. A-208San Diego, CA 92110-2930 · (619) 537-9345 · Fax (619) 269-9245
Phone(619) 537-9345
Fax(619) 269-9245
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 20, 2011
Last NPPES UpdateAugust 8, 2012
✔ NPI 1356637185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY24218
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License PSY24218 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY24218 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY24218 (CA)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY24218 (CA)
3990 OLD TOWN AVE, San Diego, CA 92110
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Other Names 1

Professional Name (2)Dr. Syrus Gupta Ph.d.

Other Identifiers 1

Other12258947Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Saurabh Gupta Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911177480
PECOS Enrollment IDI20110819000554
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 Reassignment

Medicare enrollment records show Saurabh Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Psychology Centers, Apc
5.1 mi
Mental Health (Including Community Mental Health Center)
8775 AERO DR, SUITE 238
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1386066363 (855) 629-7272

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
115 services16 patients

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.

DR. MARY MUDD QUINN LMFT
Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE 209A
SAN DIEGO, CA 92110
San Diego County (619) 294-9180
MRS. JILL KATHLEEN DODGE LCSW
Social Worker
3990 OLD TOWN AVE, STE 209A
SAN DIEGO, CA 92110
San Diego County (619) 615-5065
JAMES C DILLARD DR CHIROPRACTIC CORPORATION
Chiropractor
3990 OLD TOWN AVE, STE A-105
SAN DIEGO, CA 92110
San Diego County (619) 260-8580
HEATHER JEAN SERAFIN ACSW
Social Worker (Clinical)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
San Diego County (619) 278-2400
ELIZABETH ANN HEWES
Counselor (Mental Health)
3990 OLD TOWN AVE, C107
SAN DIEGO, CA 92110
San Diego County (619) 688-1804
MS. PATRIZIA I SPIGA MFT
Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE A207
SAN DIEGO, CA 92110
San Diego County (619) 255-0042
JAY JANKOWSKY
Counselor (Mental Health)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
San Diego County (619) 688-1804
MISS ALEXANDRA SHAW LAC
Acupuncturist
3990 OLD TOWN AVE, STE B107
SAN DIEGO, CA 92110
San Diego County (713) 870-7157

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 Saurabh Gupta's NPI number?

The NPI number for Saurabh Gupta is 1356637185. It was assigned to this individual provider in the NPPES registry on June 20, 2011. The provider is also known as Dr. Syrus Gupta Ph.D..

Where is Saurabh Gupta located?

Saurabh Gupta practices at 3990 Old Town Ave Ste. A-208, San Diego, CA 92110. The listed phone number is (619) 537-9345.

What is Saurabh Gupta's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Saurabh Gupta enrolled in Medicare?

Yes. Saurabh Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Saurabh Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saurabh Gupta reassigns Medicare benefits to Southern California Psychology Centers, Apc (San Diego, CA). The 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 Saurabh 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 Saurabh Gupta was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.