Organization Active NPI

Harry Dassah Inc

  • Cardiovascular Disease Physician
  • Vacaville, CA
National Provider Identifier
1962583435
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A385030 Issued in CA
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

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Harry Dassah, M.D.NPI 1205917192
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A385030MedicaidCA

Other names 1

  • HARRY DASSAH MD INC. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.