Ganga Bhagyalaxmi Thota, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45986 Issued in CA

Practice address

867 E Stanley Blvd
Livermore, CA 94550-4008

Phone

(925) 234-6491

NPI assigned

Nov 14, 2010

Last updated

Nov 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1770884322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 BALMORAL WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825383",
            "telephone_number": "510-818-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 E STANLEY BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504008",
            "telephone_number": "925-234-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTA",
        "first_name": "GANGA",
        "middle_name": "BHAGYALAXMI",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-14",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hospital Committee for the Livermore-Pleasanton Areas (ValleyCare Health System)
• The Hospital Committee for the Livermore-Pleasanton Areas (ValleyCare Health System)
• The Hospital Committee for the Livermore-Pleasanton Areas (ValleyCare Health System)
• Andrea Nicole Thomas, OTR/L
• Emily E Thompson
• Thrifty Payless Inc (Rite Aid Pharmacy 05925)
• Thrifty Payless Inc (Rite Aid Pharmacy 06456)
• Tamara Thurston, IBCLC
• Brian Tieu, DDS
• Lori Ann Ross Tijerino, DDS

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, 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 Nov 14, 2010; 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.