Individual provider Active NPI

Ka Bao Vang-Cruz, RDH

  • Dental Hygienist
  • Vacaville, CA
National Provider Identifier
1376375899
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
32269 Issued in CA
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
32269CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince Aug 18, 2024 Accepting new patients

Locations

600 Nut Tree Rd
Ste 120
Vacaville, CA 95687
Phone (209) 636-5555

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.