DR. JUSTIN MARK KEYASHIAN (NPI# 1609176478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609176478 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN MARK KEYASHIAN |
| Credential | DDS |
| Practice Address |
106 La Casa Via 280 Walnut Creek CA 94598-3086 |
| Mailing Address |
1132 Maggie Ln Walnut Creek CA 94597-2568 |
| Practice Telephone | 9259322110 |
| Mailing Telephone | 4242889830 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 59820 | CA | Dental Providers |
| Street Address |
106 LA CASA VIA 280 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599163 | Kristine W Batten | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-24 |
| 1619425584 | Kelli Patin | Dietitian, Registered | 106 La Casa Via, Suite 100, Walnut Creek, CA 94598-3086 | 2016-09-20 |
| 1922470863 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via, Suite 260, Walnut Creek, CA 94598-3086 | 2015-10-29 |
| 1780073759 | Hk Facial Plastic Surgery, Inc | Otolaryngology | 106 La Casa Via, #200, Walnut Creek, CA 94598-3086 | 2015-01-14 |
| 1447677141 | Erin Walker | Physician Assistant | 106 La Casa Via, Suite 140, Walnut Creek, CA 94598-3086 | 2014-03-20 |
| 1538413117 | Carrie Toni Chan | Nurse Practitioner | 106 La Casa Via, Suite 240, Walnut Creek, CA 94598-3086 | 2012-11-02 |
| 1275799124 | Haena Kim | Otolaryngology | 106 La Casa Via, Suite 200, Walnut Creek, CA 94598-3086 | 2008-07-31 |
| 1386786366 | Wayne R. Walker | Dentist | 106 La Casa Via, Suite 280, Walnut Creek, CA 94598-3086 | 2007-02-13 |
| 1942235411 | Anne M Thibault | Nurse Practitioner | 106 La Casa Via, Suite 100, Walnut Creek, CA 94598-3086 | 2006-07-12 |
| 1013947670 | Mark D Nathan | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136162 | Basma Zaky | Dentist | 161 N Civic Dr Apt 148, Walnut Creek, CA 94596-3903 | 2020-08-28 |
| 1407469489 | Behrokh Bahraini | Dentist | 1500 N California Blvd Apt 519, Walnut Creek, CA 94596-7432 | 2020-08-28 |
| 1568074839 | Benjamin Geleris | Dentist | 1855 San Miguel Dr Ste 20, Walnut Creek, CA 94596-5290 | 2020-08-18 |
| 1780292458 | George M. Saleeb | Dentist | 2734 Oak Rd Apt 75, Walnut Creek, CA 94597-2811 | 2020-07-20 |
| 1710519889 | Annelise Scarlett Eriksen | Dentist | 2021 Ygnacio Valley Rd Ste A2, Walnut Creek, CA 94598-3388 | 2020-02-06 |
| 1346626983 | Kristina Mcginley | Dentist | 2548 Jones Rd Apt 9, Walnut Creek, CA 94597-3161 | 2015-08-05 |
| 1992079743 | Sachin Patel | Dentist | 2328 Cascade Dr, Walnut Creek, CA 94598-4313 | 2012-02-25 |
| 1033493101 | Brian J Hockel | Dentist | 2651 Oak Grove Rd, Walnut Creek, CA 94598-3627 | 2011-10-06 |
| 1851693329 | Olha P Kulyk | Dentist | 1450 Creekside Dr Apt 61, Walnut Creek, CA 94596-5535 | 2010-12-03 |
| 1912207903 | Peter F. Chase D.d.s., Inc. | Dentist | 130 La Casa Via Bldg 2, Walnut Creek, CA 94598-3045 | 2010-10-25 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| 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.