Active NPI
Vasu Midha
- Dentist
- Oroville, CA
National Provider Identifier
1891530184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110919
- Practice address
- 2800 Lincoln St
Oroville, CA 95966-5961 - Phone
- (530) 533-6484
- Fax
- (530) 533-2708
- NPI assigned
- Jun 27, 2024
- 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 | 110919 | CA | Primary |
Addresses
Primary practice location
2800 Lincoln St
Oroville, CA 95966-5961
Mailing address
1877 Stabler Park Dr
Yuba City, CA 95993-5192
Phone (530) 709-0013
Other practice location 1
1877 Stabler Park Dr
Yuba City, CA 95993-5192
Phone (530) 709-0013
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 |
|---|---|---|---|---|
| I20241126003450 | CA | Order and Referring Only - Dentist | 9234664327 |
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": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1891530184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 STABLER PARK DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959935192",
"telephone_number": "530-709-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 LINCOLN ST",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959665961",
"telephone_number": "530-533-6484",
"fax_number": "530-533-2708"
}
],
"practiceLocations": [
{
"address_1": "1877 Stabler Park Dr",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959935192",
"country_code": "US",
"telephone_number": "530-709-0013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDHA",
"first_name": "VASU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.