Active NPI
Ekam Singh Sandhu, DDS
- General Practice Dentistry
- Vacaville, CA
National Provider Identifier
1295349348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS105253
- Practice address
- 292 Alamo Dr Ste 5
Vacaville, CA 95688-4243 - Phone
- (707) 345-1137
- NPI assigned
- Sep 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS105253 | CA | Primary |
Addresses
Primary practice location
292 Alamo Dr Ste 5
Vacaville, CA 95688-4243
Mailing address
3375 Mix Canyon Rd
Vacaville, CA 95688-9012
Phone (707) 301-5912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105253 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Life Organization, Inc | General Practice | Past | Accepting new patients |
| Health and Life Organization, Inc. | Past | Accepting new patients | |
| Health and Life Organization, Inc. | General Practice | Past | Accepting new patients |
| Health and Life Organization, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1144600248
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1306198296
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1427715515
General Practice
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1427808310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1295349348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 MIX CANYON RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889012",
"telephone_number": "707-301-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 ALAMO DR STE 5",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884243",
"telephone_number": "707-345-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "EKAM",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS105253",
"primary": true
}
],
"identifiers": [],
"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 Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.