Organization Active NPI

Vivek Mittal, M.D. and Manisha Mittal, M.D. Inc.

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1194253872
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A125783 Issued in CA
Legal business name
VIVEK MITTAL, M.D. AND MANISHA MITTAL, M.D. INC.
Doing business as
Mittal Gastroenterology and Rheumatology
Practice address
2475 E Fir Ave Ste 104
Fresno, CA 93720-0398
Phone
(559) 900-4013
Fax
(559) 900-4172
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Vivek Mittal, MDNPI 1396888277
Title
President
Phone
(559) 900-4013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A125783 CA Primary

Addresses

Primary practice location

2475 E Fir Ave Ste 104
Fresno, CA 93720-0398

Mailing address

7045 N Maple Ave Ste 101
Fresno, CA 93720-8008
Phone (559) 900-4013

Other names 1

  • Mittal Gastroenterology and Rheumatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170719004016 CA Part B Supplier - Clinic/Group Practice 7618247966 Receives reassigned benefits from 3 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

2475 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 900-0413

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1194253872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-900-4013",
            "fax_number": "559-900-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E FIR AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200398",
            "telephone_number": "559-900-4013",
            "fax_number": "559-900-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVEK MITTAL, M.D. AND MANISHA MITTAL, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-900-4013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A125783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mittal Gastroenterology and Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.