Vishal Kumar Mittal, FNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95027474 Issued in CA

Practice address

580 Dody Dr
Manteca, CA 95337-8712

Phone

(209) 607-8487

NPI assigned

Oct 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1891576336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 DODY DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378712",
            "telephone_number": "209-607-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DODY DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378712",
            "telephone_number": "209-607-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "VISHAL",
        "middle_name": "KUMAR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95027474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027474",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95027474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Charles Miller, DPM
• Max William Miller, MD
• Matthew Hoyt Milnes, D.D.S.
• Marilou Ancheta Miranda
• Mirandahealth Medical Center Inc a Professional Nursing Corporation
• Mircea Catalin Mitu, DDS
• Tonisha Mixon
• Hitshkumar Manubhai Modi, D.D.S
• Jayshree Mahesh Modi, RPH
• Ma Aye A. Moe, MD

• Acute Care Nurse Practitioner in Manteca, CA
• Providers in Manteca, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.