YAN KALIKA DENTAL CORPORATION (NPI# 1003384991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003384991 |
| Entity Type | Organization |
| Organization Name | YAN KALIKA DENTAL CORPORATION |
| Other Organization Name | VALLE SMILES |
| Practice Address |
2990 W Grant Line Rd Tracy CA 95304-7901 |
| Mailing Address |
3075 Beacon Blvd West Sacramento CA 95691-3462 |
| Practice Telephone | 9162976600 |
| Mailing Telephone | 9162976600 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | YAN KALIKA (PRESIDENT) |
| Authorized Official Telephone | 9162976603 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | Y |
| Parent Organization Name | YAN KALIKA DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| VALLE SMILES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940557 | Yan Kalika Dental Corporation | Dentist | 133 Plaza Dr Ste R, Vallejo, CA 94591-3703 | 2018-11-08 |
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1497223390 | Yan Kalika Dental Corporation | Dentist | 5657 E Kings Canyon Rd Ste 107, Fresno, CA 93727-4653 | 2018-11-08 |
| 1861823585 | Yan Kalika Dental Corporation | Dentist | 3075 Beacon Blvd, West Sacramento, CA 95691-3462 | 2013-12-05 |
| 1164076410 | Yan Kalika Dental Corporation | Dentist | 582 Center Ave, Martinez, CA 94553-4600 | 2019-07-25 |
| 1912475807 | Yan Kalika Dental Corporation | Dentist | 1851 Sutter St, Concord, CA 94520-2559 | 2018-11-08 |
| 1447728332 | Yan Kalika Dental Corporation | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2018-11-08 |
| 1780152660 | Yan Kalika Dental Corporation | Dentist | 1955 W Texas St Ste 12, Fairfield, CA 94533-4462 | 2018-11-08 |
| 1689142572 | Yan Kalika Dental Corporation | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-11-08 |
| 1497223382 | Yan Kalika Dental Corporation | Dentist | 2016 Jefferson St, Napa, CA 94559-1214 | 2018-11-08 |
| Street Address |
2990 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95304-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074729 | Devna Umakant Pandit | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2005-06-23 |
| 1467016469 | Western Dental Services, Inc. | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2019-04-24 |
| 1437634532 | Valle Smiles | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-09-25 |
| 1427565118 | Ruben Jesus Villa | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-01-04 |
| 1821341942 | Dharaben Ravjibhai Munjpara | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2012-10-26 |
| 1164594842 | Community Dental Services | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2006-11-15 |
| 1346325511 | Rozita Bahadori | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934226 | Tracy Dental Excellence, Chase Dental Group, Inc. | Dentist | 2858 West Grantline Rd, Tracy, CA 95304 | 2016-06-27 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1023286879 | Maneeza A Kulaly | Dentist | 2616 Pavilion Pkwy, Suite B, Tracy, CA 95304 | 2008-02-14 |
| 1447437892 | Norma Jean Paisley | Social Worker | 30000 Kasson Rd. #323, Tracy, CA 95304 | 2008-01-29 |
| 1811061641 | Katherine D Sanchez Dds Inc | Dentist | 2643 Naglee Rd, Tracy, CA 95304 | 2006-11-20 |
| 1851401467 | Costco Wholesale Corporation | Pharmacy | 3250 W Grant Line Rd, Tracy, CA 95304 | 2006-08-30 |
| 1942218128 | Adarsh Kaur | Dentist | 23500, Kasson Road, Tracy, CA 95304 | 2006-08-04 |
| 1982078630 | Janet Joanne Graham | Licensed Practical Nurse | 23500 Kasson Road, Tracy, CA 95304 | 2015-11-18 |
| 1215277207 | Dawn Bramley | Psychologist | 23500 Kasson Rd, Tracy, CA 95304 | 2013-02-27 |
| 1760670509 | Franklin Rafanan | Social Worker | 23500 Kasson Road, Tracy, CA 95304 | 2007-10-05 |
| Find all providers in zip 95304 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641042 | Amrit S Basi Dmd Corp | Dentist | 929 N Central Ave Ste D, Tracy, CA 95376-3965 | 2019-10-21 |
| 1578080628 | Sharanya Chola | Dentist | 2600 S Tracy Blvd Ste 170, Tracy, CA 95376-9111 | 2017-08-29 |
| 1255738787 | Jim Yu, D.d.s. Professional Dental Corporation | Dentist | 2231 W Grant Line Rd Ste 134, Tracy, CA 95377-7325 | 2014-11-26 |
| 1881878197 | Arthur N. Garbutt | Dentist | 23500 Kasson Rd., Tracy, CA 95376 | 2007-12-21 |
| 1740476316 | Western Dental Services, Inc. | Dentist | 2313 N Corral Hollow Rd, Tracy, CA 95376-9401 | 2007-09-18 |
| 1518162825 | Jeffrey Travis Burton | Dentist | Dvi Kasson Rd., Dental Dept, Tracy, CA 95376 | 2007-06-18 |
| 1922214337 | Tracy Family Dental Center | Dentist | 945 Central Ave, Tracy, CA 95376-3950 | 2007-05-15 |
| 1003031386 | Carlos E Sanchez | Dentist | 1433 N Tracy Blvd, Tracy, CA 95376-3445 | 2007-04-13 |
| 1588786909 | Michael Richard Earle | Dentist | 929 Central Ave, Suite D, Tracy, CA 95376-3950 | 2007-04-05 |
| 1285756809 | Emil Guansing Villaroman Jr. | Dentist | 3254 N Tracy Blvd, Tracy, CA 95376-1747 | 2007-04-04 |
| Find all providers in TRACY | ||||
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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.