Individual provider Active NPI

Smita Awasthi, MD

  • Pediatric Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1912107970
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
A113306 Issued in CA
Practice address
3301 C St Ste 1300
Sacramento, CA 95816-3370
Phone
(916) 734-6111
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 A113306 CA
Pediatric Dermatology Physician 207NP0225X A113306 CA Primary

Addresses

Primary practice location

3301 C St Ste 1300
Sacramento, CA 95816-3370

Mailing address

3301 C St Ste 1300
Sacramento, CA 95816-3370
Phone (916) 734-6111

Other practice location 1

550 1st Ave
New York, NY 10016-6402
Phone (212) 686-7500

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
I20140826000367 CA Practitioner - DermatologyPractitioner - Pediatric Medicine 5092933515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113306CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 15, 2014 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 15, 2014 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 15, 2014 Accepting new patients
Regents of the University of Ca CurrentSince Sep 15, 2014 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2440 W Covell Blvd
Ste 104
Davis, CA 95616
Phone (530) 747-3000

2440 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2646

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

2521 Stockton Blvd
Ste 5200
Sacramento, CA 95817
Phone (916) 734-2801

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Organizations & group practices 9

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912107970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163370",
            "telephone_number": "916-734-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163370",
            "telephone_number": "916-734-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-686-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWASTHI",
        "first_name": "SMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A113306",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A113306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.