DR. PRAVEEN GUPTA M.D.
NPI 1649386707
Obstetrics & Gynecology in Culver City, CA

Active since August 22, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0860885 · Waiver
10542 VENICE BLVD, CULVER CITY, CA 90232(310) 559-0575(310) 839-5473 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Praveen Gupta M.d. NPPES

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

DR. PRAVEEN GUPTA M.D. (NPI 1649386707) is an individual obstetrics & gynecology provider in Culver City, California, licensed in California (A25680) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 10, 2027, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1649386707
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PRAVEEN GUPTACredential: M.D.
Location Address10542 VENICE BLVDCulver City, CA 90232-3308
Mailing Address10542 Venice BlvdCulver City, CA 90232-3308 · (310) 559-0575 · Fax (310) 839-5473
Fax(310) 839-5473
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateAugust 22, 2006
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1649386707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A25680
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10542 VENICE BLVD, Culver City, CA 90232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Praveen Gupta M.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 ID6406022888
PECOS Enrollment IDI20120106000150
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0860885

Praveen Gupta A Medical Corporation · Culver City, CA
Active · expires Oct 10, 2027
CLIA Number05D0860885
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorPraveen Gupta MD
Laboratory Phone(310) 559-0575
Laboratory LocationPraveen Gupta A Medical Corporation10542 Venice Blvd, Culver City, CA 90232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
10542 VENICE BLVD
CULVER CITY, CA 90232

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 Praveen Gupta's NPI number?

The NPI number for Praveen Gupta is 1649386707. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Praveen Gupta located?

Praveen Gupta practices at 10542 Venice Blvd, Culver City, CA 90232. The listed phone number is (310) 559-0575.

What is Praveen Gupta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Praveen Gupta enrolled in Medicare?

Yes. Praveen 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.

Does Praveen Gupta hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0860885) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Praveen Gupta was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.