Active NPI
Aditi Vyas
- Dentist
- Pleasanton, CA
National Provider Identifier
1821474602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100504
- Practice address
- 6766 Bernal Ave
Pleasanton, CA 94566-1233 - Phone
- (848) 468-9870
- NPI assigned
- Aug 4, 2015
- 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 | 100504 | CA | Primary |
Addresses
Primary practice location
6766 Bernal Ave
Pleasanton, CA 94566-1233
Mailing address
6766 Bernal Ave
Pleasanton, CA 94566-1233
Phone (848) 468-9870
Other names 1
- Aditi Vyas
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 |
|---|---|---|---|---|
| I20171206000629 | CA | Order and Referring Only - Dentist | 8527325133 |
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": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1821474602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6766 BERNAL AVE",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945661233",
"telephone_number": "848-468-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6766 BERNAL AVE",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945661233",
"telephone_number": "848-468-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "ADITI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADITI",
"last_name": "VYAS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.