Individual provider Active NPI

Vibha Jhawar

  • Dentist
  • Sacramento, CA
National Provider Identifier
1013126622
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54420 Issued in CA
Practice address
8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203
Phone
(167) 375-5555
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54420 CA Primary

Addresses

Primary practice location

8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203

Mailing address

6522 Park Riviera Way
Sacramento, CA 95831-1022
Phone (916) 730-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002911 CA Practitioner - Oral Surgery 4981925096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Feb 18, 2017 Accepting new patients
Wellspace Health CurrentSince Feb 18, 2017 Accepting new patients

Locations

3415 Martin Luther King Jr Blvd
Sacramento, CA 95817
Phone (916) 233-4910

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

8233 E Stockton Blvd
Ste D
Sacramento, CA 95828
Phone (916) 236-4700

Interoperability endpoints

  • Direct secure messaging: vjhawar@direct.westerndental.com
  • Direct secure messaging: vjhawar769772@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1013126622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 PARK RIVIERA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311022",
            "telephone_number": "916-730-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8233 E STOCKTON BLVD STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958288203",
            "telephone_number": "167-375-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAWAR",
        "first_name": "VIBHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.