Active NPI
Ka Bao Vang-Cruz, RDH
- Dental Hygienist
- Vacaville, CA
National Provider Identifier
1376375899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32269
- Practice address
- 600 Nut Tree Rd Ste 120
Vacaville, CA 95687-4656 - Phone
- (209) 636-5555
- NPI assigned
- Aug 14, 2024
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 32269 | CA | Primary |
Addresses
Primary practice location
600 Nut Tree Rd Ste 120
Vacaville, CA 95687-4656
Mailing address
600 Nut Tree Rd Ste 120
Vacaville, CA 95687-4656
Other practice location 1
1141 Pear Tree Ln
Napa, CA 94558-6484
Phone (886) 268-4489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32269 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers Inc | Current | Accepting new patients |
Locations
600 Nut Tree Rd
Ste 120
Vacaville, CA 95687
Phone (209) 636-5555
Interoperability endpoints
- ka.vangcruz.p1@direct.cmcentersinc.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Vacaville, CA
- NPI 1649908872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1376375899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NUT TREE RD STE 120",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NUT TREE RD STE 120",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874656",
"telephone_number": "209-636-5555"
}
],
"practiceLocations": [
{
"address_1": "1141 Pear Tree Ln",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945586484",
"country_code": "US",
"telephone_number": "886-268-4489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANG-CRUZ",
"first_name": "KA",
"middle_name": "BAO",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.