Dr. Jiwan P Gupta
Anesthesiologist General Practice Physician
14795 Jeffrey Rd Ste 204
Irvine
, California 92618-0417
Dr. Jiwan P Gupta
Anesthesiologist General Practice Physician
14795 Jeffrey Rd Ste 204
Irvine
, California 92618-0417
(949) 486-4417
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About
Features
Specialties
- Anesthesiologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jiwan P Gupta
- 33 Montgomery
- Mission Viejo, CA
- Zip : 92692-5115
- Fax : (949) 486-4417
- Phone : (949) 648-3878
Second Address
- Dr. Jiwan P Gupta
- 14795 Jeffrey Rd Ste 204
- Irvine, CA
- Zip : 92618-0417
- Phone : (949) 486-4411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | A37323 | CA |
| Y | 208D00000X | General Practice Physician | A37323 | CA |
National Provider Identifier
| NPI | 1053305458 |
|---|---|
| Provider Name | Dr. Jiwan P Gupta |
| First Address | Mission Viejo, CA 92692-5115 |
| Second Address | Irvine, CA 92618-0417 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2005 |
| Last Update Date | 13/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A28353 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.