NPIMap

Organization Active NPI

Mission Care Pediatrics,Inc.

  • Pediatric Adolescent Medicine Physician
  • Folsom, CA
National Provider Identifier
1740343961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A82372 Issued in CA
Legal business name
MISSION CARE PEDIATRICS,INC.
Practice address
2170 E Bidwell St
Suite Number 100
Folsom, CA 95630-6453
Phone
(916) 983-8696
Fax
(916) 983-8694
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shikha Garg, MDNPI 1457395550
Title
MD
Phone
(916) 983-8696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X A82372 CA Primary

Addresses

Primary practice location

2170 E Bidwell St
Suite Number 100
Folsom, CA 95630-6453

Mailing address

2170 E Bidwell St
Suite Number 100
Folsom, CA 95630-6453
Phone (916) 983-8696

National Provider Directory

National Provider Directory

Locations

2170 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (530) 921-3556

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740343961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 E BIDWELL ST",
            "address_2": "SUITE NUMBER 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-983-8696",
            "fax_number": "916-983-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 E BIDWELL ST",
            "address_2": "SUITE NUMBER 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-983-8696",
            "fax_number": "916-983-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CARE PEDIATRICS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SHIKHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "916-983-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A82372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.