Active NPI
Ranjitha Vasili
- Dentist
- Fairfield, CA
National Provider Identifier
1750836177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100599
- Practice address
- 2440 N Texas St
Fairfield, CA 94533-1602 - Phone
- (408) 821-2577
- NPI assigned
- Aug 16, 2016
- 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 | 100599 | CA | Primary |
Addresses
Primary practice location
2440 N Texas St
Fairfield, CA 94533-1602
Mailing address
4250 Astor Hollow St
San Ramon, CA 94582-4877
Phone (408) 821-2577
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 |
|---|---|---|---|---|
| I20161121002413 | CA | Order and Referring Only - Dentist | 8921387622 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1750836177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 ASTOR HOLLOW ST",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824877",
"telephone_number": "408-821-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 N TEXAS ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945331602",
"telephone_number": "408-821-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILI",
"first_name": "RANJITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.