Active NPI
Siddharth Mishra
- Adult Companion
- Hayward, CA
National Provider Identifier
1316534423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 24301 Southland Dr Ste 510
Hayward, CA 94545-1540 - Phone
- (925) 915-0610
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Community Health Worker | 172V00000X | CA | ||
| Peer Specialist | 175T00000X | |||
| Adult Companion | 372600000X | CA | Primary |
Addresses
Primary practice location
24301 Southland Dr Ste 510
Hayward, CA 94545-1540
Mailing address
390 40TH St
Oakland, CA 94609-2633
Phone (510) 613-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1316534423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 40TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092633",
"telephone_number": "510-613-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR STE 510",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451540",
"telephone_number": "925-915-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "SIDDHARTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.