Sheilaja Mittal M D Prof Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76569 Issued in CA

Legal business name

SHEILAJA MITTAL M D PROF CORP

Practice address

1172 S. Main St.
Salinas, CA 93901

Phone

(831) 422-3701

Fax

(831) 536-1859

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sheilaja Mittal, M.D.

Title

Medical Director/Owner, Physician

Phone

(831) 533-5353

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• WORKWELL MEDICAL GROUP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Daegun Schanker, MD MPH

  • Occupational Medicine Physician
  • Stanford, CA
  • NPI 1679936090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1164610325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S. MAIN ST.",
            "address_2": "#380",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012204",
            "telephone_number": "831-553-5353",
            "fax_number": "831-536-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 S. MAIN ST.",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-422-3701",
            "fax_number": "831-536-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILAJA MITTAL M D PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "SHEILAJA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "831-533-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66313",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76569",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A765690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "105990300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11372513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WORKWELL MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WORKWELL MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassondra Nichole Sharrah
• Scott Eric Shaw, PA C
• Alexandra Elizabeth Shawo, M.D.
• Deidre Alycia Shay, MSN, APRN, FNP-C
• Tiffany Shearing, PA-C
• Sheilaja Mittal M D Prof Corp
• Barbara Jean Shell
• Karina Shelton, CP
• Wayne Shen, MD
• Purnima Sheoran

• Internal Medicine Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.