Individual provider Active NPI

Samyukta Dasika, MD

  • Pediatrics Physician
  • Yuba City, CA
National Provider Identifier
1851520126
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C156447 Issued in CA
Practice address
480 Plumas Blvd Ste 201
Yuba City, CA 95991
Phone
(530) 749-3530
Fax
(530) 749-3439
NPI assigned
Jul 8, 2009
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0009073 DE
Pediatrics Physician 208000000X C156447 CA Primary

Addresses

Primary practice location

480 Plumas Blvd Ste 201
Yuba City, CA 95991

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other practice location 1

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

Other practice location 2

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190913002796 CA Practitioner - Pediatric Medicine 6800125931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C156447CAMDPediatrics Physician
C1-0009073DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Pediatrics Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 9, 2019 Accepting new patients
Sutter Valley Medical Foundation Pediatrics CurrentSince Sep 9, 2019 Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients
Twin Cities Surgical Hospital LLC Past Accepting new patients
The Nemours Foundation Past Accepting new patients
Sutter Regional Medical Foundation Pediatrics Past Accepting new patients

Locations

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

480 Plumas Blvd
Ste 201
Yuba City, CA 95991
Phone (530) 749-3530

Interoperability endpoints

  • Direct secure messaging: sdasika459158@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1851520126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PLUMAS BLVD STE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-749-3530",
            "fax_number": "530-749-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Middleford Rd",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733636",
            "country_code": "US",
            "telephone_number": "302-629-6611",
            "fax_number": "302-651-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Middleford Rd",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733636",
            "country_code": "US",
            "telephone_number": "302-629-6611",
            "fax_number": "302-651-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASIKA",
        "first_name": "SAMYUKTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0009073",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C156447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.