Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mysore R Nagaraja, MD

Individual provider Internal Medicine Physician · NPI 1760451298

Dr. Mysore R Nagaraja, MD is a Gastroenterology in Upland, California. Qualified in 1970, 56 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Years since qualifying
56
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

811 E 11th St Ste 208
Upland, CA 91786-4872
Phone: (909) 982-2279
Fax: (909) 946-3070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17075 Devonshire St Ste 200, Northridge, CA 91325-5407 — (818) 363-3105
  • 790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 — (909) 469-0033

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A25685 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A25685 (CA)

Record details

NPI number1760451298
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 16, 2006
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address17075 Devonshire St Ste 200, Northridge, CA 91325-5407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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