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MANDHIR GUPTA MD
NPI 1790844397
Pediatrics - Neonatal-Perinatal Medicine in Harbor City, CA

Active since December 08, 2006PECOS Enrolled
25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mandhir Gupta Md NPPES

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

MANDHIR GUPTA MD (NPI 1790844397) is an individual neonatal-perinatal medicine provider in Harbor City, California, licensed in California (A54449) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790844397
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMANDHIR GUPTACredential: MD
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111
Phone(310) 325-5111
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 6, 2021
✔ NPI 1790844397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A54449
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
25825 VERMONT AVE, Harbor City, CA 90710
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandhir 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 Reassignment

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

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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.

SEAN KOH PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
ALYSSA QUAN PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2238
JOYHAN JAY SUNG RRT-NPS
Respiratory Therapist, Registered (Neonatal/Pediatrics)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2648
RANDEL R. KING MD
Internal Medicine (Pulmonary Disease)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
TIM TAKESHI SUGIYAMA
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2239
RYOKEI K. IMAI MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
JENNIFER WING-YUN LAM MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
CHRISTOPHER LOLACHI MD
Otolaryngology (Plastic Surgery within the Head & Neck)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111

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 Mandhir Gupta's NPI number?

The NPI number for Mandhir Gupta is 1790844397. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Mandhir Gupta located?

Mandhir Gupta practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.

What is Mandhir Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mandhir Gupta enrolled in Medicare?

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

Which organization bills Medicare for Mandhir Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandhir Gupta reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Mandhir 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 Mandhir Gupta was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.