Individual provider Active NPI

Cathy N Vo

  • Dentist
  • Rancho Cordova, CA
National Provider Identifier
1902336472
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101910 Issued in CA
Practice address
2001 Zinfandel Dr Ste B5
Rancho Cordova, CA 95670-4265
Phone
(916) 638-5833
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101910 CA Primary

Addresses

Primary practice location

2001 Zinfandel Dr Ste B5
Rancho Cordova, CA 95670-4265

Mailing address

9900 Milepost Cir
Elk Grove, CA 95624-4719
Phone (916) 833-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180416000279 VA Order and Referring Only - DentistPractitioner - Dentist 9537422001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101910CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cnvo CurrentSince Feb 4, 2024 Accepting new patients
Neibauer Dental Care, P.C. Dentist Past Accepting new patients
Zinfandel Dental Practice Dentist PastSince Aug 1, 2021 Accepting new patients
Neibauer Dental Care Dentist Past Accepting new patients

Locations

2001 Zinfandel Dr
Ste B5
Rncho Cordova, CA 95670
Phone (916) 638-5833

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1902336472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MILEPOST CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244719",
            "telephone_number": "916-833-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR STE B5",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-638-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "CATHY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.