Active NPI
Sunen G Pandya, DDS
- General Practice Dentistry
- Stockton, CA
National Provider Identifier
1326073958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50805
- Practice address
- 8014 N Lower Sacramento Rd Ste B&C
Stockton, CA 95210-3753 - Phone
- (209) 451-1133
- Fax
- (209) 433-4300
- NPI assigned
- Jul 12, 2006
- 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 | 50805 | CA | Primary |
Addresses
Primary practice location
8014 N Lower Sacramento Rd Ste B&C
Stockton, CA 95210-3753
Mailing address
8014 N Lower Sacramento Rd, Suite # B & C,
Stockton, CA 95210-3747
Phone (209) 451-1133
Other practice location 1
16910 Hawthorne Blvd
Lawndale, CA 90260-3215
Phone (310) 542-4333
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2958 | Other | CA | DENTAL HEALTH SERVICES HM |
| 57726 | Other | CA | HEALTHY FAMILIES/SAFEGUAR |
| 0005177 | Other | CA | MANAGED DENTAL CARE |
| 012887 | Other | CA | PMI DELTACARE |
| 10393 | Other | CA | PACIFICARE DENTAL & VISIO |
| 1696185 | Other | CA | UNITED CONCORDIA |
| 416735 | Other | CA | AETNA DENTAL HMO PLAN |
| 4538 | Other | CA | PACIFIC UNION |
| 4801 | Other | CA | LIBERTY DENTAL PLAN |
| 11352 | Other | CA | CALIFORNIA DENTAL SERVICE |
| 57565 | Other | CA | SAFEGUARD HMO DENTAL PLAN |
| 2283 | Other | CA | CALIFORNIA DENTAL BENEFIT |
| F3571 | Other | CA | GOLDEN WEST HMO PLAN |
| D1537 | Other | CA | SMILESAVER DENTAL PLANS |
| 120749-1 | Other | CA | DENTAL BENEFIT PROVIDER |
| 1776 | Other | CA | CALIFORNIA DENTAL NETWORK |
| 244931 | Other | CA | UNITED DENTAL HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1326073958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8014 N LOWER SACRAMENTO RD, SUITE # B & C,",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103747",
"telephone_number": "209-451-1133",
"fax_number": "209-433-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8014 N LOWER SACRAMENTO RD STE B&C",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103753",
"telephone_number": "209-451-1133",
"fax_number": "209-433-4300"
}
],
"practiceLocations": [
{
"address_1": "16910 Hawthorne Blvd",
"address_purpose": "LOCATION",
"city": "Lawndale",
"state": "CA",
"postal_code": "902603215",
"country_code": "US",
"telephone_number": "310-542-4333",
"fax_number": "310-370-6779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDYA",
"first_name": "SUNEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HEALTH SERVICES HM",
"identifier": "2958",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES/SAFEGUAR",
"identifier": "57726",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED DENTAL CARE",
"identifier": "0005177",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMI DELTACARE",
"identifier": "012887",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE DENTAL & VISIO",
"identifier": "10393",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1696185",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA DENTAL HMO PLAN",
"identifier": "416735",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC UNION",
"identifier": "4538",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBERTY DENTAL PLAN",
"identifier": "4801",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL SERVICE",
"identifier": "11352",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD HMO DENTAL PLAN",
"identifier": "57565",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL BENEFIT",
"identifier": "2283",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN WEST HMO PLAN",
"identifier": "F3571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMILESAVER DENTAL PLANS",
"identifier": "D1537",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BENEFIT PROVIDER",
"identifier": "120749-1",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL NETWORK",
"identifier": "1776",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED DENTAL HEALTHCARE",
"identifier": "244931",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.