Individual provider Active NPI

Dikshya Aryal, CNM

  • Advanced Practice Midwife
  • Sacramento, CA
National Provider Identifier
1205333135
Registry record updated Apr 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
235937 Issued in CA
Practice address
77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480
Phone
(916) 920-2082
Fax
(916) 920-5480
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95147339 CA
Advanced Practice Midwife 367A00000X 235937 CA Primary

Addresses

Primary practice location

77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480

Mailing address

77 Sluice Way
Folsom, CA 95630-8740

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125002436 CA Practitioner - Certified Nurse Midwife (CNM) 0749613164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95147339CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince Sep 14, 2020 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers Inc CurrentSince Sep 14, 2020 Accepting new patients

Locations

1801 E March Ln
Ste D470
Stockton, CA 95210
Phone (209) 507-7000

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: daryal767985@direct.ochin.org
  • Direct secure messaging: dikshya.aryal.p1@direct.cmcentersinc.nextgenshare.com

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1205333135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SLUICE WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255480",
            "telephone_number": "916-920-2082",
            "fax_number": "916-920-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYAL",
        "first_name": "DIKSHYA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95147339",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.