Individual provider Active NPI

Mihir Kishor Sanghvi, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1275827636
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A115171 Issued in CA
Practice address
5155 Seagreen CT
Rancho Cucamonga, CA 91739-2637
Phone
(951) 323-5598
NPI assigned
Jun 2, 2011
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A115171 CA Primary

Addresses

Primary practice location

5155 Seagreen CT
Rancho Cucamonga, CA 91739-2637

Mailing address

12223 Highland Ave
Suite 106-804
Rancho Cucamonga, CA 91739-2574
Phone (951) 323-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131126000215 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 8820224744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mihir K Sanghvi MD IncGroup PAC ID 9436447240, 3 clinicians

Practice addresses (Care Compare)

Claremont, CA 91711
Phone (951) 323-5598

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115171CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mihir K. Sanghvi, M.D., Inc. CurrentSince Aug 29, 2016 Accepting new patients
Charter Health Care Group LLC PastSince Feb 2, 2020 Accepting new patients

Locations

12223 Highland Ave
Ste 106804
Rch Cucamonga, CA 91739

Interoperability endpoints

  • Direct secure messaging: msanghvi144690@direct.llu.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1275827636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE",
            "address_2": "SUITE 106-804",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "951-323-5598",
            "fax_number": "909-292-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 SEAGREEN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392637",
            "telephone_number": "951-323-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "MIHIR",
        "middle_name": "KISHOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.