Individual provider Active NPI

Maitry Sonagra

  • General Practice Dentistry
  • Pittsburg, CA
National Provider Identifier
1801781109
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111572 Issued in CA
Practice address
2120 Railroad Ave Ste 105
Pittsburg, CA 94565-4880
Phone
(717) 982-9680
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111572 CA Primary

Addresses

Primary practice location

2120 Railroad Ave Ste 105
Pittsburg, CA 94565-4880

Mailing address

7550 St Patrick Way Apt 568
Dublin, CA 94568-4887
Phone (717) 982-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1801781109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 ST PATRICK WAY APT 568",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684887",
            "telephone_number": "717-982-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 RAILROAD AVE STE 105",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654880",
            "telephone_number": "717-982-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONAGRA",
        "first_name": "MAITRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.