Thi an Vy Sartorius, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101740 Issued in CA

Practice address

793 E Foothill Blvd # A183
San Luis Obispo, CA 93405-1615

Phone

(999) 999-9999

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chester T. Low, DDS, Inc.

  • Dental Clinic/Center
  • Richmond, CA
  • NPI 1730257098
  NPD (past)
• Usha Mantena Dental Corporation

  • Dentist
  • Vacaville, CA
  • NPI 1073976361
  NPD (past)
• Usha Mantena Dental Corporation

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1093176380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1265951024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 SANTOS LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 E FOOTHILL BLVD # A183",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051615",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 16th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948013214",
            "country_code": "US",
            "telephone_number": "510-233-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Elmira Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956874655",
            "country_code": "US",
            "telephone_number": "707-215-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTORIUS",
        "first_name": "THI AN VY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Alene Ireys Sanz
• Eric Rosales Sarabia
• Priscilla Sarabia
• Samantha Sarabia
• Heidi Sarmento
• Shirow Duane Sasaki, PHARMD
• Jose Saucedo
• Erika Saunders, LMFT
• Alexandra Savage, LCSW
• Louise Sawyer, MA, LEP, NCSP, ABSNP

• General Practice Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.

Verify at the official NPI Registry.