GAURAV MISHRA (NPI# 1689804866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689804866 |
| Entity Type | Individual |
| Full Name | GAURAV MISHRA |
| Credential | MD |
| Practice Address |
678 3rd Ave Chula Vista CA 91910-5736 |
| Mailing Address |
1601 Precision Park Ln San Ysidro CA 92173-1345 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 1966241006 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A129941 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
A129941 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A129941 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 N 8th St, El Centro, CA 922432302 | 7604824000 |
| Street Address |
678 3RD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306930573 | Maricela E Murillo | Dentist | 678 3rd Ave, Suite 301, Chula Vista, CA 91910-5739 | 2006-10-03 |
| 1386281541 | America Paloma Juarez | Social Worker | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2019-12-06 |
| 1689234239 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Health Educator | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2019-06-17 |
| 1902319197 | Blanca Blas | Dental Hygienist | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2017-11-09 |
| 1922531250 | Krystal Alicia Jimenez | Family Medicine | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2017-04-04 |
| 1699176024 | Phuong-anh Natalie Nguyen | Dentist | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2014-09-04 |
| 1427475318 | Melissa Campos | Family Medicine | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2014-03-28 |
| 1205253150 | Karen Law | Family Medicine | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2014-03-27 |
| 1326486861 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2013-06-06 |
| 1467714436 | Alexander R Medina | Family Medicine | 678 3rd Ave, Chula Vista, CA 91910-5736 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053448969 | Stuart Schafer | Psychiatry & Neurology | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2007-02-27 |
| 1215064209 | Nasra Sawal Haroun | Psychiatry & Neurology | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2007-02-27 |
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|---|---|---|---|---|
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| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.