Individual provider Active NPI

Harry Dassah, M.D.

  • Cardiovascular Disease Physician
  • Vacaville, CA
National Provider Identifier
1205917192
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A385030 Issued in CA
Practice address
405 Boyd St
Vacaville, CA 95688-4521
Phone
(707) 449-0483
Fax
(707) 448-0443
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A385030 CA Primary

Addresses

Primary practice location

405 Boyd St
Vacaville, CA 95688-4521

Mailing address

405 Boyd St
Vacaville, CA 95688-4521
Phone (707) 449-0483

Other identifiers 1

IdentifierTypeStateIssuer
00A385030MedicaidCA

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A385030CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Dassah Inc Cardiovascular Disease CurrentSince Nov 19, 2008 Accepting new patients

Locations

830 Union Ave
Fairfield, CA 94533
Phone (707) 429-9988

405 Boyd St
Vacaville, CA 95688
Phone (707) 449-0483

401 Boyd St
Vacaville, CA 95688
Phone (530) 966-8144

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1205917192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "707-449-0483",
            "fax_number": "707-448-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "707-449-0483",
            "fax_number": "707-448-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASSAH",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A385030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A385030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.