Active NPI
Sonali Raman Wagh, DDS
- Dentist
- Sacramento, CA
National Provider Identifier
1336108604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50394
- Practice address
- 3901 Marconi Ave
Sacramento, CA 95821-3902 - Phone
- (916) 487-7995
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50394 | CA | Primary |
Addresses
Primary practice location
3901 Marconi Ave
Sacramento, CA 95821-3902
Mailing address
1665 Diamond Woods Circle
Roseville, CA 95747
Phone (916) 434-5165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336108604 | Other | CA | GENERAL PRACTICE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald E. Clarke, D.D.S., Inc. | Past | 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.
-
- Dental Clinic/Center
- Sacramento, CA
- NPI 1144254756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1336108604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 DIAMOND WOODS CIRCLE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95747",
"telephone_number": "916-434-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213902",
"telephone_number": "916-487-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGH",
"first_name": "SONALI",
"middle_name": "RAMAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL PRACTICE",
"identifier": "1336108604",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.