Active NPI
Harry Dassah Inc
- Cardiovascular Disease Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A385030
- Legal business name
- HARRY DASSAH INC
- Practice address
- 405 Boyd St
830 Union Ave. Fairfield Ca 94533- Second Location
Vacaville, CA 95688-4521 - Phone
- (707) 449-0483
- Fax
- (707) 448-0443
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Dassah, M.D.
- Title
- President
- Phone
- (707) 449-0483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A385030 | CA | Primary |
Addresses
Primary practice location
405 Boyd St
830 Union Ave. Fairfield Ca 94533- Second Location
Vacaville, CA 95688-4521
Mailing address
405 Boyd St
830 Union Ave. Fairfield
Vacaville, CA 95688-4521
Phone (707) 449-0483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A385030 | Medicaid | CA |
Other names 1
- HARRY DASSAH MD INC.
National Provider Directory
National Provider DirectoryLocations
830 Union Ave
Fairfield, CA 94533
Phone (707) 429-9988
405 Boyd St
#830
Vacaville, CA 95688
405 Boyd St
Vacaville, CA 95688
Phone (707) 449-0483
401 Boyd St
Vacaville, CA 95688
Phone (530) 966-8144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Vacaville, CA
- NPI 1205917192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376352000000",
"number": "1962583435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BOYD ST",
"address_2": "830 UNION AVE. FAIRFIELD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884521",
"telephone_number": "707-449-0483",
"fax_number": "707-448-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BOYD ST",
"address_2": "830 UNION AVE. FAIRFIELD CA 94533- SECOND LOCATION",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884521",
"telephone_number": "707-449-0483",
"fax_number": "707-448-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY DASSAH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2013-08-13",
"status": "A",
"authorized_official_last_name": "DASSAH",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-449-0483",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A385030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A385030",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HARRY DASSAH MD INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.