Active NPI
Khusal D Mehta
- Pediatrics Physician
- Dinuba, CA
National Provider Identifier
1962591834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00A36047
- Practice address
- 430 N Vermont Ave
Dinuba, CA 93618-1631 - Phone
- (559) 591-1060
- Fax
- (559) 591-1083
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00A36047 | CA | Primary |
Addresses
Primary practice location
430 N Vermont Ave
Dinuba, CA 93618-1631
Mailing address
430 N Vermont Ave
Dinuba, CA 93618-1631
Phone (559) 591-1060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A360470 | Medicaid | CA | |
| RHM53912F | Other | CA | RURAL HEALTH CLINIC NUMBE |
| 553912 | Other | CA | MEDICARE IDENTIFICATION NUMBER |
Other names 1
- Dr. Khusaldas D Mehta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A36047 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khusal Mehta Rural Health Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Dinuba, CA
- NPI 1710007786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1962591834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N VERMONT AVE",
"city": "DINUBA",
"state": "CA",
"postal_code": "936181631",
"telephone_number": "559-591-1060",
"fax_number": "559-591-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N VERMONT AVE",
"city": "DINUBA",
"state": "CA",
"postal_code": "936181631",
"telephone_number": "559-591-1060",
"fax_number": "559-591-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "KHUSAL",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "00A36047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A360470",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH CLINIC NUMBE",
"identifier": "RHM53912F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "553912",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KHUSALDAS",
"last_name": "MEHTA",
"middle_name": "D",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.