Active NPI
Nishi Dhanota, MS, PA-C
- Physician Assistant
- Marysville, CA
National Provider Identifier
1437437274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53980
- Practice address
- 201 D St Ste G
Marysville, CA 95901-5957 - Phone
- (530) 742-7747
- NPI assigned
- Jul 27, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 53980 | CA | Primary |
Addresses
Primary practice location
201 D St Ste G
Marysville, CA 95901-5957
Mailing address
201 D St Ste G
Marysville, CA 95901-5957
Phone (530) 742-7747
Other practice location 1
480 Plumas Blvd
Suit 202
Yuba City, CA 95991-5005
Phone (530) 749-3601
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53980 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1437437274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 D ST STE G",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015957",
"telephone_number": "530-742-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 D ST STE G",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015957",
"telephone_number": "530-742-7747"
}
],
"practiceLocations": [
{
"address_1": "480 Plumas Blvd",
"address_2": "Suit 202",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959915005",
"country_code": "US",
"telephone_number": "530-749-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHANOTA",
"first_name": "NISHI",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.