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GAURAV MISHRA MD
NPI 1689804866
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chula Vista, CA

Active since July 22, 2009PECOS Enrolled
678 3RD AVE, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gaurav Mishra Md NPPES

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

GAURAV MISHRA MD (NPI 1689804866) is an individual child & adolescent psychiatry provider in Chula Vista, California, licensed in California (A129941) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in El Centro.

NPPES Registry Identity

NPI1689804866
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameGAURAV MISHRACredential: MD
Location Address678 3RD AVEChula Vista, CA 91910-5736
Mailing Address1601 Precision Park LnSan Ysidro, CA 92173-1345 · (196) 624-1006
Phone(619) 662-4100
Sole ProprietorNo
Enumeration DateJuly 22, 2009
Last NPPES UpdateNovember 7, 2019
✔ NPI 1689804866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A129941
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A129941 (CA)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License A129941 (CA)
678 3RD AVE, Chula Vista, CA 91910
Open in Google Maps ↗

Secondary Practice Location 1

Location 1202 N 8th StEl Centro, CA 92243-2302 · Phone (760) 482-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaurav Mishra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gaurav Mishra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.
Same address
Federally Qualified Health Center (FQHC)
678 3RD AVE
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1326486861 (619) 662-4100

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVA ARSHADI DDS
Dentist (Pediatric Dentistry)
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
DR. AUDRIE MARIE MINNICH MD
Family Medicine
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
LILIA ANGEL-SINGH PT
Physical Therapist
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (310) 702-1631
DR. LAURA ELENA ARCE-GOMEZ MD
Family Medicine
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
POOJA SHAH MENON M.D.
Family Medicine
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
THUTHIRI THANDAR LWIN M.D.
Internal Medicine (Rheumatology)
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
KAREN LAW MD
Family Medicine
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100
DR. LAURA J LYNN I PT, DPT
Physical Therapist
678 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 662-4100

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 Gaurav Mishra's NPI number?

The NPI number for Gaurav Mishra is 1689804866. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Gaurav Mishra located?

Gaurav Mishra practices at 678 3rd Ave, Chula Vista, CA 91910. The listed phone number is (619) 662-4100.

What is Gaurav Mishra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Gaurav Mishra enrolled in Medicare?

Yes. Gaurav Mishra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gaurav Mishra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Mishra reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (Chula Vista, CA). The 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 Gaurav Mishra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gaurav Mishra was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.