Individual provider Active NPI

Anandika Aggarwal

  • General Practice Dentistry
  • San Ramon, CA
National Provider Identifier
1346693017
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100459 Issued in CA
Practice address
1501 Bollinger Canyon Rd Ste G
San Ramon, CA 94583-1758
Phone
(925) 837-4486
NPI assigned
Jul 19, 2016
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 100459 CA Primary

Addresses

Primary practice location

1501 Bollinger Canyon Rd Ste G
San Ramon, CA 94583-1758

Mailing address

1501 Bollinger Canyon Rd Ste G
San Ramon, CA 94583-1758
Phone (925) 837-4486

Other practice location 1

1624 Franklin St
Suite 615
Oakland, CA 94612-2897
Phone (510) 244-3183

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
I20161227000990 CA Order and Referring Only - DentistPractitioner - Dentist 2062793409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100459CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Anderson, D.D.S., Inc. PastSince Sep 5, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1346693017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD STE G",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831758",
            "telephone_number": "925-837-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD STE G",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831758",
            "telephone_number": "925-837-4486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Franklin St",
            "address_2": "Suite 615",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946122897",
            "country_code": "US",
            "telephone_number": "510-244-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "ANANDIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.