Active NPI
Vikash Dev Mishra, M.D.
- Emergency Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A144735
- Practice address
- 1801 Divisadero St
San Francisco, CA 94115-2516 - Phone
- (415) 965-7944
- Fax
- (415) 965-7933
- NPI assigned
- Mar 31, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15300 | NV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A144735 | CA | Primary |
Addresses
Primary practice location
1801 Divisadero St
San Francisco, CA 94115-2516
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other practice location 1
2380 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-5078
Phone (702) 823-4255
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- George Washington University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Sutter PL
Davis, CA 95616-6201
Phone (530) 756-6440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15300 | NV | MD | Pharmacist |
| A144735 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
Interoperability endpoints
- vmishra361356@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1396044491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1689816167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152516",
"telephone_number": "415-965-7944",
"fax_number": "415-965-7933"
}
],
"practiceLocations": [
{
"address_1": "2380 W Horizon Ridge Pkwy",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890525078",
"country_code": "US",
"telephone_number": "702-823-4255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "VIKASH",
"middle_name": "DEV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-31",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "15300",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A144735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.