Individual provider Active NPI

Bijal Ashok Mehta, D.D.S.

  • Dentist
  • Los Alamitos, CA
National Provider Identifier
1043557705
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62138 Issued in CA
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

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001720 CA Order and Referring Only - DentistPractitioner - Dentist 2264728815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62138CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.