Active NPI
Sneha Innes, D.D.S.
- Dentist
- Vallejo, CA
National Provider Identifier
1073650552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54789
- Practice address
- 2600 Springs Rd
Vallejo, CA 94591-5713 - Phone
- (707) 642-3711
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11608 | OR | |
| Dentist | 122300000X | 11417672-9921 | UT | |
| Dentist | 122300000X | 54789 | CA | Primary |
Addresses
Primary practice location
2600 Springs Rd
Vallejo, CA 94591-5713
Mailing address
4021 Oceanview Dr
Rancho Cordova, CA 95742-6737
Phone (707) 864-9904
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11417672-9921 | Other | UT | DDS LICENSE |
| D11608 | Other | OR | DDS LICENSE |
| 54789 | Other | CA | DDS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54789 | CA | MD | Dentist |
| D11608 | OR | MD | Dentist |
| 11417672-9921 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Editha M. Aquino D.M.D. Professional Dental Corporation | 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
- Vallejo, CA
- NPI 1265799753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1073650552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 OCEANVIEW DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426737",
"telephone_number": "707-864-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SPRINGS RD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945915713",
"telephone_number": "707-642-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNES",
"first_name": "SNEHA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11608",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "11417672-9921",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDS LICENSE",
"identifier": "11417672-9921",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDS LICENSE",
"identifier": "D11608",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DDS LICENSE",
"identifier": "54789",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.