Individual provider Active NPI

Amandeep K. Sekhon

  • General Practice Dentistry
  • Yuba City, CA
National Provider Identifier
1336338342
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54402 Issued in CA
Practice address
1170 Live Oak Blvd
Yuba City, CA 95991-3407
Phone
(530) 671-9555
Fax
(530) 671-9580
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54402 CA Primary

Addresses

Primary practice location

1170 Live Oak Blvd
Yuba City, CA 95991-3407

Mailing address

1170 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 671-9555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190605002470 CA Order and Referring Only - DentistPractitioner - Dentist 5597098558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54402CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
G Sekhon Apc General Practice PastSince Aug 2, 2020 Accepting new patients
A. Sekhon Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 2

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1336338342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913407",
            "telephone_number": "530-671-9555",
            "fax_number": "530-671-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913407",
            "telephone_number": "530-671-9555",
            "fax_number": "530-671-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKHON",
        "first_name": "AMANDEEP",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.