Organization Active NPI

Naveen Mishra, D.O., P.C.

  • Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1588968754
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A10958 Issued in CA
Legal business name
NAVEEN MISHRA, D.O., P.C.
Practice address
2267 Lava Ridge CT Ste 125
Roseville, CA 95661-4275
Phone
(916) 771-3717
Fax
(916) 771-3727
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Dr. Naveen Mishra, DO
Title
Owner
Phone
(916) 771-3717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 20A10958 CA Primary

Addresses

Primary practice location

2267 Lava Ridge CT Ste 125
Roseville, CA 95661-4275

Mailing address

2267 Lava Ridge CT Ste 125
Roseville, CA 95661-4275
Phone (916) 771-3717

Other practice location 1

2281 Lava Ridge Ct Ste 140
Roseville, CA 95661-2804
Phone (916) 771-3717

National Provider Directory

National Provider Directory

Locations

2267 Lava Ridge Ct
Ste 125
Roseville, CA 95661
Phone (916) 771-3717

Practitioners & affiliated clinicians

Practitioners 1

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1588968754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 LAVA RIDGE CT STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614275",
            "telephone_number": "916-771-3717",
            "fax_number": "916-771-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 LAVA RIDGE CT STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614275",
            "telephone_number": "916-771-3717",
            "fax_number": "916-771-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2281 Lava Ridge Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612804",
            "country_code": "US",
            "telephone_number": "916-771-3717",
            "fax_number": "916-771-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAVEEN MISHRA, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-771-3717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A10958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.