Individual provider Active NPI

Mukesh Hasmukhrai Naik, DO

  • Family Medicine Physician
  • Vacaville, CA
National Provider Identifier
1609982248
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6091 Issued in CA
Practice address
1001 Nut Tree Rd
Suite 140
Vacaville, CA 95687-4166
Phone
(707) 448-9350
Fax
(707) 448-3572
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6091 CA Primary

Addresses

Primary practice location

1001 Nut Tree Rd
Suite 140
Vacaville, CA 95687-4166

Mailing address

1001 Nut Tree Rd
Suite 140
Vacaville, CA 95687
Phone (707) 301-1657

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000980 CA Practitioner - Family Practice 9739178765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laksmi Ananta IncGroup PAC ID 7113257585, 2 clinicians

Practice addresses (Care Compare)

525 Oregon St
Vallejo, CA 94590-3201
Phone (707) 301-1657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6091CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laksmi Ananta Inc Family Medicine CurrentSince Jun 20, 2019 Accepting new patients

Locations

525 Oregon St
Vallejo, CA 94590
Phone (707) 301-1657

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1609982248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD",
            "address_2": "SUITE 140",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-301-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD",
            "address_2": "SUITE 140",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "707-448-9350",
            "fax_number": "707-448-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "MUKESH",
        "middle_name": "HASMUKHRAI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.