Individual provider Active NPI

Vikrant Mittal, MBBS, MD, MHS

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1194907584
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD443216 Issued in PA
Practice address
3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone
(925) 944-9711
NPI assigned
Nov 28, 2007
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A129117 CA
Psychiatry Physician 2084P0800X MD443216 PA Primary

Addresses

Primary practice location

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078

Mailing address

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110726000725 PA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0345309654 Reassigns benefits to 1 organization
I20240117001718 CA Practitioner - Psychiatry 0345309654 Reassigns benefits to 1 organization
I20260330001195 LA Practitioner - Psychiatry 0345309654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians
Oasis Lifecare LLCGroup PAC ID 2860796323, 8 clinicians

Practice addresses (Care Compare)

17875 Von Karman Ave
Suite 150
Irvine, CA 92614-6212
Phone (714) 880-4545

1951 Pine Hall Rd
Suite 225
State College, PA 16801-5107
Phone (814) 237-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129117CAMDPsychiatry Physician
MD443216PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Hospital CurrentSince Sep 15, 2024 Accepting new patients
Physician Groups LC Past Accepting new patients
Lancaster Hma Physician Management, LLC Psychiatry Past Accepting new patients

Locations

8010 State Line Rd
Ste 100
Shawnee Mission, KS 66208
Phone (617) 513-8568

50 Congress St
Ste 642
Boston, MA 02109
Phone (617) 513-8568

Interoperability endpoints

  • Direct secure messaging: vmittal5370112@direct.casso.us.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1194907584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "VIKRANT",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD, MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A129117",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD443216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.