Individual provider Active NPI

Barinderpal Cheema

  • Oral and Maxillofacial Surgery (Dentist)
  • Yuba City, CA
National Provider Identifier
1790138675
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
100427 Issued in CA
Practice address
1052 Live Oak Blvd
Yuba City, CA 95991-3416
Phone
(916) 868-4854
NPI assigned
Jul 15, 2016
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 100427 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 100427 CA Primary

Addresses

Primary practice location

1052 Live Oak Blvd
Yuba City, CA 95991-3416

Mailing address

1173 Montgomery LN
Tracy, CA 95377-7928

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001405 CA Practitioner - Oral SurgeryPractitioner - Dentist 0941598072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100427CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barinderpal S Cheema Dental Corporation CurrentSince Mar 17, 2007 Accepting new patients
Steele Placerville Dental Group, Inc General Practice Past Accepting new patients

Locations

1052 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 671-4784

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1790138675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 MONTGOMERY LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913416",
            "telephone_number": "916-868-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "BARINDERPAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100427",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "100427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.