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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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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)