Individual provider Active NPI

Vandana Dhanda, FNP

  • Family Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1659966547
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014602 Issued in CA
Practice address
1600 Creekside Dr
Folsom, CA 95630-3444
Phone
(916) 932-4163
Fax
(916) 932-4167
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95014602 CA Primary

Addresses

Primary practice location

1600 Creekside Dr
Folsom, CA 95630-3444

Mailing address

1189 Rothwell LN
Roseville, CA 95747-9025
Phone (916) 850-5299

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611002556 CA Practitioner - Nurse Practitioner 1153721121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95014602CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bingtao Lin, MD, PC CurrentSince Mar 10, 2021 Accepting new patients

Locations

1600 Creekside Dr
Ste 2400
Folsom, CA 95630
Phone (916) 932-4163

Interoperability endpoints

  • Direct secure messaging: vdhanda429440@hisp.ehr.sutterhealth.org

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1659966547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 ROTHWELL LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479025",
            "telephone_number": "916-850-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-932-4163",
            "fax_number": "916-932-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANDA",
        "first_name": "VANDANA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.