Active NPI
Bijal Ashok Mehta, D.D.S.
- Dentist
- Los Alamitos, CA
National Provider Identifier
1043557705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62138
- Practice address
- 10900 Los Alamitos Blvd Ste 133
Los Alamitos, CA 90720-5612 - Phone
- (562) 596-8888
- Fax
- (562) 596-8178
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62138 | CA | Primary |
Addresses
Primary practice location
10900 Los Alamitos Blvd Ste 133
Los Alamitos, CA 90720-5612
Mailing address
10900 Los Alamitos Blvd Ste 133
Los Alamitos, CA 90720-5612
Phone (562) 596-8888
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907001720 | CA | Order and Referring Only - Dentist | 2264728815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62138 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashok Mehta, DDS, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Los Alamitos, CA
- NPI 1558494310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1043557705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 LOS ALAMITOS BLVD STE 133",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907205612",
"telephone_number": "562-596-8888",
"fax_number": "562-596-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 LOS ALAMITOS BLVD STE 133",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907205612",
"telephone_number": "562-596-8888",
"fax_number": "562-596-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "BIJAL",
"middle_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.