Organization Active NPI

Gaurav Mishra MD Inc

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1972412864
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GAURAV MISHRA MD INC
Practice address
16868 Via del Campo CT Ste 100
San Diego, CA 92127-1772
Phone
(313) 629-9340
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Dr. Gaurav Mishra, MD
Title
Psychiatrist/Ceo
Phone
(313) 629-9340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

16868 Via del Campo CT Ste 100
San Diego, CA 92127-1772

Mailing address

17159 W Bernardo Dr Unit 202
San Diego, CA 92127-1532
Phone (313) 629-9340

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1972412864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17159 W BERNARDO DR UNIT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271532",
            "telephone_number": "313-629-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16868 VIA DEL CAMPO CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271772",
            "telephone_number": "313-629-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV MISHRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "PSYCHIATRIST/CEO",
        "authorized_official_telephone_number": "313-629-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.