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RISHU GUPTA MD INC
NPI 1902519986
Dermatology in Poway, CA

Active since January 04, 2023CLIA 05D0687440 · Certificate of Compliance
15525 POMERADO RD STE D1, POWAY, CA 92064(858) 675-8001 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rishu Gupta Md Inc NPPES

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

RISHU GUPTA MD INC (NPI 1902519986), doing business as Sd Skin, is a healthcare organization registered as a dermatology in Poway, California and active in the NPI registry since January 2023. The organization holds a CLIA Certificate of Compliance certificate valid through July 2, 2027 and lists Rishu Gupta, Owner, as its authorized official.

NPPES Registry Identity

NPI1902519986
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRISHU GUPTA MD INC
Location Address15525 POMERADO RD STE D1Poway, CA 92064-2426
Mailing Address15525 Pomerado Rd Ste D1Poway, CA 92064-2426 · (858) 675-8001
Phone(858) 675-8001
Organization SubpartNo
Authorized OfficialRishu GuptaOwner · (858) 357-7033
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1902519986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
15525 POMERADO RD STE D1, Poway, CA 92064
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Other Names 1

Doing Business AsSd Skin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rishu Gupta MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dale Kooistra, M.D., PHD.
Dermatology
NPI 1831182971
15525 POMERADO RD SUITE D2
Poway, CA 92064
(858) 675-8001
✔ PECOS✔ Accepts MedicareSame address
Rishu Gupta, M.D.
Dermatology
NPI 1942620869
2023 W VISTA WAY STE D
Vista, CA 92083
(858) 357-7033
✔ PECOS✔ Accepts Medicare19 mi

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

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 Compliance 05D0687440

Rishu Gupta MD, Inc · Poway, CA
Active · expires Jul 2, 2027
CLIA Number05D0687440
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorRishu Gupta
Laboratory Phone(858) 675-8001
Laboratory LocationRishu Gupta MD, Inc15525 Pomerado Rd, Ste D-2, Poway, CA 92064
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Rishu Gupta MD Inc's NPI number?

The NPI number for Rishu Gupta MD Inc is 1902519986. It was assigned to this organization in the NPPES registry on January 4, 2023. The provider is doing business as SD Skin.

Where is Rishu Gupta MD Inc located?

Rishu Gupta MD Inc is located at 15525 Pomerado Rd Ste D1, Poway, CA 92064. The listed phone number is (858) 675-8001.

What is Rishu Gupta MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rishu Gupta MD Inc enrolled in Medicare?

Yes. Rishu Gupta MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rishu Gupta MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Rishu Gupta MD Inc. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rishu Gupta MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0687440) is associated with this NPI, valid through July 2, 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 Rishu Gupta MD Inc was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.