Active NPI
Sushma Pai
- Dentist
- Fairfield, CA
National Provider Identifier
1508542374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113796
- Practice address
- 3332 N Texas St Ste C
Fairfield, CA 94533-9806 - Phone
- (797) 399-9082
- NPI assigned
- Jun 26, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 113796 | CA | Primary |
Addresses
Primary practice location
3332 N Texas St Ste C
Fairfield, CA 94533-9806
Mailing address
1800 Lacassie Ave
Walnut Creek, CA 94596-1000
Phone (972) 345-4767
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1508542374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LACASSIE AVE",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945961000",
"telephone_number": "972-345-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3332 N TEXAS ST STE C",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945339806",
"telephone_number": "797-399-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAI",
"first_name": "SUSHMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.