Active NPI
Sumera Zeeshan, D.D.S
- Dentist
- El Cerrito, CA
National Provider Identifier
1558747063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64830
- Practice address
- 136 Ramona Ave
El Cerrito, CA 94530-4143 - Phone
- (925) 705-3426
- NPI assigned
- Aug 6, 2015
- 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 | 64830 | CA | Primary |
Addresses
Primary practice location
136 Ramona Ave
El Cerrito, CA 94530-4143
Mailing address
136 Ramona Ave
El Cerrito, CA 94530-4143
Phone (925) 705-3426
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030001799 | CA | Order and Referring Only - Dentist | 7315470259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumera Zeeshan DDS Inc | Current | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Loomis, CA
- NPI 1164017737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1558747063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 RAMONA AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945304143",
"telephone_number": "925-705-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 RAMONA AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945304143",
"telephone_number": "925-705-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEESHAN",
"first_name": "SUMERA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.