NICHOLAS TJ YATCO DDS INC (NPI# 1912565151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912565151 |
| Entity Type | Organization |
| Organization Name | NICHOLAS TJ YATCO DDS INC |
| Practice Address |
20600 Lake Chabot Rd Castro Valley CA 94546-5432 |
| Mailing Address |
20600 Lake Chabot Rd Ste 103 Castro Valley CA 94546-5432 |
| Practice Telephone | 5105814124 |
| Mailing Telephone | 5105814124 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | DR. NICHOLAS TJ YATCO (DENTIST) |
| Authorized Official Telephone | 5103869176 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6822 Jarvis Ave, Newark, CA 945601172 | 5103869176 |
| Street Address |
20600 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706523 | Michael Craig Preston | Dentist | 20600 Lake Chabot Rd, Suite 103, Castro Valley, CA 94546-5432 | 2005-11-11 |
| 1003362955 | Shen and Busquets Dental Partnership | Dentist | 20600 Lake Chabot Rd, Ste 205, Castro Valley, CA 94546-5432 | 2016-08-31 |
| 1922291780 | Donald Terry Esslinger | Dentist | 20600 Lake Chabot Rd, Castro Valley, CA 94546-5432 | 2007-08-23 |
| 1053460121 | David Thomas Fosdahl | Dentist | 20600 Lake Chabot Rd, Suite 101, Castro Valley, CA 94546 | 2007-01-09 |
| 1104980309 | Carolyn Langer | Dentist | 20600 Lake Chabot Rd, Suite 201, Castro Valley, CA 94546 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023589041 | G S Kohli Dental Corp | Clinic/Center | 20632 Redwood Rd Ste A, Castro Valley, CA 94546-5631 | 2018-12-17 |
| 1760032007 | Vijay Munagala Dds Inc | Clinic/Center | 20212 Redwood Rd Ste 101, Castro Valley, CA 94546-4324 | 2019-09-18 |
| 1295206597 | A Aneja Dmd Inc | Clinic/Center | 22233 Redwood Rd, Castro Valley, CA 94546-7109 | 2018-12-12 |
| 1124540950 | Castro Valley Dental Care | Clinic/Center | 3603 Jamison Way, Castro Valley, CA 94546 | 2017-07-13 |
| 1578004818 | Shervin Yazdi Dds, Inc | Clinic/Center | 20700 Lake Chabot Rd, Suite 205, Castro Valley, CA 94546-5401 | 2017-03-20 |
| 1053720128 | Bruce Ahtye Dds | Clinic/Center | 20099 Redwood Rd, Castro Valley, CA 94546-4326 | 2014-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.