DR. YAS DASTMALCHI (NPI# 1063580702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063580702 |
| Entity Type | Individual |
| Full Name | DR. YAS DASTMALCHI |
| Other Name | DR. YASS DASTMALCHI |
| Credential | DDS |
| Practice Address |
3505 School St Lafayette CA 94549-4505 |
| Practice Telephone | 9252990193 |
| Practice Fax Number | 9252990793 |
| Mailing Telephone | 9252990193 |
| Mailing Fax Number | 9252990793 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
42462 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EIN | 68039632 | 01 |
| Street Address |
3505 SCHOOL ST |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686866 | Acadiana Endodontics | Dentist | 4906 Ambassador Caffery Pkwy Bldg O, Lafayette, LA 70508-6962 | 2019-12-16 |
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1083946834 | David M Vieth, Dds, A Professional Corporation | Dentist | 2001 Ne Evangeline Thruway, Lafayette, LA 70501 | 2010-02-04 |
| 1245367481 | Anthony Brian Rainwater | Dentist | 3909-b Ambassador Caffery Parkway, Lafayette, LA 70503 | 2007-02-27 |
| 1518004761 | Kenneth Shane Fowler | Dentist | 335 Doucet Rd, Ste A, Lafayette, LA 70503-3497 | 2007-01-30 |
| 1619044021 | Reynold L Gaubert Dmd | Dentist | 3839 West Congress Street, Suite A, Lafayette, LA 70506 | 2006-11-29 |
| 1407939226 | Brent Michael Chauvin | Dentist | 221 Rue De Jean, Suite 214, Lafayette, LA 70508-8501 | 2006-10-23 |
| 1932294030 | John Edward Levin | Dentist | 312 W University Ave, Suite A, Lafayette, LA 70506-3648 | 2006-10-04 |
| 1760432611 | Sean P. Hart | Dentist | 1533 Kossuth St, Lafayette, IN 47905-1560 | 2006-05-11 |
| 1992703102 | Mark David Wood | Dentist | 1200 W South Boulder Rd, Suite 103, Lafayette, CO 80026-3546 | 2005-07-12 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. YAS DASTMALCHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.