Active NPI
Pankaj Nanubhai Mistry, M.D.
- Pediatrics Physician
- West Covina, CA
National Provider Identifier
1366518342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A44860
- Practice address
- 933 S Sunset Ave Ste 101
West Covina, CA 91790-3410 - Phone
- (626) 919-5437
- Fax
- (626) 919-5439
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A44860 | CA | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A44860 | CA |
Addresses
Primary practice location
933 S Sunset Ave Ste 101
West Covina, CA 91790-3410
Mailing address
PO Box 4219
West Covina, CA 91791-0219
Phone (626) 919-5437
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44860 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| The West Covina Kids Doc ,Apmc | Single Specialty | Past | Accepting new patients |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1366518342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4219",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917910219",
"telephone_number": "626-919-5437",
"fax_number": "626-919-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 S SUNSET AVE STE 101",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903410",
"telephone_number": "626-919-5437",
"fax_number": "626-919-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "PANKAJ",
"middle_name": "NANUBHAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A44860",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A44860",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.