Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haven OBGYN PC

Organization Gynecology Physician · NPI 1134008824

Haven OBGYN PC is a Gynecology Physician in Folsom, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 Creekside Dr Ste 3100
Folsom, CA 95630-3486
Phone: (916) 269-8865
Fax: (916) 265-9659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1134008824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikita Mishra — Md Owner · (916) 269-8865
NPI enumeratedAugust 28, 2025
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address6091 Edgehill Dr, El Dorado Hills, CA 95762-5475

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