Active NPI
Smita Awasthi, MD
- Pediatric Dermatology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- A113306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A113306 | CA | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | 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 | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.