Individual provider Active NPI

Ricky Zhu

  • General Practice Dentistry
  • Napa, CA
National Provider Identifier
1326668443
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106503 Issued in CA
Practice address
3200 Villa LN
Napa, CA 94558-3017
Phone
(707) 255-5700
NPI assigned
Apr 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 106503 CA Primary

Addresses

Primary practice location

3200 Villa LN
Napa, CA 94558-3017

Mailing address

121 Reliant Way
American Canyon, CA 94503-3235
Phone (571) 490-4620

Other practice location 1

2801 Waterman Blvd Ste 120
Fairfield, CA 94534-2987
Phone (707) 429-0451

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

LicenseStateTypeSpecialty
106503CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fana Aragaw DDS Inc. PastSince Aug 13, 2023 Accepting new patients

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": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1326668443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RELIANT WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945033235",
            "telephone_number": "571-490-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VILLA LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583017",
            "telephone_number": "707-255-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Waterman Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945342987",
            "country_code": "US",
            "telephone_number": "707-429-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHU",
        "first_name": "RICKY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.