Individual provider Active NPI

Aishwarya Taneja, MBBS

  • Pediatrics Physician
  • Galveston, TX
National Provider Identifier
1952966079
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A187235 Issued in CA
Practice address
301 University
Route 1119
Galveston, TX 77555-1119
Phone
(409) 772-3695
Fax
(409) 772-3680
NPI assigned
May 3, 2019
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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 10067127 TX
Pediatrics Physician 208000000X A187235 CA Primary

Addresses

Primary practice location

301 University
Route 1119
Galveston, TX 77555-1119

Mailing address

301 University Blvd
Galveston, TX 77555-0354
Phone (409) 747-0534

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
I20230801003382 CA Practitioner - Pediatric Medicine 5890020077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

1000 Sutter St
Yuba City, CA 95991-3504
Phone (530) 673-9420

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

931 Market St
Yuba City, CA 95991-4210
Phone (530) 671-8820

935 Market St
A
Yuba City, CA 95991-4217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187235CAMDPediatrics Physician
10067127TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Jul 26, 2023 Accepting new patients
Ampla Health CurrentSince Jul 26, 2023 Accepting new patients
Ampla Health Current Accepting new patients

Locations

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: aishwarya.taneja@ampla.eclinicaldirectplus.com
  • Direct secure messaging: ataneja980291@direct.hopkinsmedicine.org

Organizations & group practices 3

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1952966079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550354",
            "telephone_number": "409-747-0534",
            "fax_number": "409-747-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY",
            "address_2": "ROUTE 1119",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551119",
            "telephone_number": "409-772-3695",
            "fax_number": "409-772-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANEJA",
        "first_name": "AISHWARYA",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "10067127",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A187235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.