Organization Active NPI

Mittal Family Healthcare Inc

  • Family Medicine Physician
  • Gilroy, CA
National Provider Identifier
1932364031
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92174 Issued in CA
Legal business name
MITTAL FAMILY HEALTHCARE INC
Practice address
9360 No Name Uno
Suite 240
Gilroy, CA 95020-3540
Phone
(408) 846-8100
Fax
(408) 846-8101
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Gunjan Mittal, MDNPI 1679526578
Title
President
Phone
(408) 846-8100

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A92174 CA Primary

Addresses

Primary practice location

9360 No Name Uno
Suite 240
Gilroy, CA 95020-3540

Mailing address

9360 No Name Uno
Suite 240
Gilroy, CA 95020-3540
Phone (408) 846-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000795 CA Part B Supplier - Clinic/Group Practice 4385704410 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1090618Mittal Family Healthcare, Inc9360 No Name Uno, Suite 240, Gilroy, CA 95020Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

9360 No Name Uno
Ste 240
Gilroy, CA 95020
Phone (408) 846-8100

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1932364031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 NO NAME UNO",
            "address_2": "SUITE 240",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203540",
            "telephone_number": "408-846-8100",
            "fax_number": "408-846-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 NO NAME UNO",
            "address_2": "SUITE 240",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203540",
            "telephone_number": "408-846-8100",
            "fax_number": "408-846-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTAL FAMILY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-846-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.