Provider Demographics
NPI:1417585605
Name:SINGH, SAPNA GOPAL (MD)
Entity type:Individual
Prefix:
First Name:SAPNA
Middle Name:GOPAL
Last Name:SINGH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SAPNA
Other - Middle Name:NANDA
Other - Last Name:GOPAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3660 PARK SIERRA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3071
Mailing Address - Country:US
Mailing Address - Phone:951-687-3400
Mailing Address - Fax:951-687-7630
Practice Address - Street 1:401 E HIGHLAND AVE STE 551
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3840
Practice Address - Country:US
Practice Address - Phone:909-882-9150
Practice Address - Fax:909-883-8972
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA185724207RN0300X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program