Amisha Chandresh Upadhyaya, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34084 Issued in CA

Practice address

210 W 1St St Ste 110
Santa Ana, CA 92701-5243

Phone

(714) 543-1020

Fax

(714) 543-1719

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Nguyen Dental Corporation

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1356277156
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639193774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015243",
            "telephone_number": "714-543-1020",
            "fax_number": "714-543-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015243",
            "telephone_number": "714-543-1020",
            "fax_number": "714-543-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "AMISHA",
        "middle_name": "CHANDRESH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "34084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Universal Connections
• University of California Irvine (Uci Family Health Center Pharmacy)
• University of California Irvine
• University of California Irvine (UCI Family Health Center - Santa Ana Mobile Unit)
• University of California Irvine (UCI Family Health Center - Santa Ana)
• Upperline Healthcare California PC
• Upperline Healthcare California, PC
• Christina Marie Urata, PTA
• Maryjane Urbina
• Megan Ure, MFT

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.