Anuj Mehta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107358 Issued in CA

Practice address

1185 Mariposa Dr
Yuba City, CA 95991-6408

Phone

(530) 713-1597

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mehta Dental Corp

  • General Practice Dentistry
  • Yuba City, CA
  • NPI 1750224630
  NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1750031423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MARIPOSA DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916408",
            "telephone_number": "530-713-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MARIPOSA DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916408",
            "telephone_number": "530-713-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANUJ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISENCE",
            "identifier": "107358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Support Los Angeles a Medical Corporation
• Ariana Medina
• Claudia Medina
• Erica R Medrano
• Mehta Dental Corp
• Lori Ann Meinking, CNM
• Erica F Melchor
• Vanessa Melecio
• Libien Melendez-Diaz
• Mayte Estela Mendez Zendejas

• General Practice Dentistry in Yuba City, CA
• Providers in Yuba City, 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 Mar 25, 2022; 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.

Verify at the official NPI Registry.