TATYANA POLYAK (NPI# 1124555388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124555388 |
| Entity Type | Individual |
| Full Name | TATYANA POLYAK |
| Credential | MD |
| Practice Address |
2335 Stockton Blvd., Naob 6th Floor Sacramento CA 95817 |
| Practice Telephone | 9167347289 |
| Practice Fax Number | 9167347104 |
| Mailing Telephone | 9167347289 |
| Mailing Fax Number | 9167347104 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A164438 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A164438 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2335 STOCKTON BLVD., NAOB 6TH FLOOR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1043744279 | Jun Park | Internal Medicine | 4150 V Street, Pssb, Suite G400, Sacramento, CA 95817 | 2017-04-13 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114212693 | Heath Jared Charvet | Surgery | 2335 Stockton Blvd, Naob 6th Floor, Sacramento, CA 95817-1418 | 2011-06-13 |
| 1235314121 | David E Sahar | Surgery | 2221 Stockton Blvd Rm 2125, Sacramento, CA 95817-1418 | 2008-01-09 |
| 1073738365 | Charles Thoms Longo | Surgery | 4250 H St, Suite 3, Sacramento, CA 95819-3441 | 2007-04-13 |
| 1962625251 | Charles W. Perry, M.d., Inc. | Surgery | 3800 J St Ste 200, Sacramento, CA 95816-5551 | 2007-04-11 |
| 1568996056 | Corey Bascone | Surgery | 2315 Stockton Blvd. - Department of Surgery, Naob 6th Floor - Plastics, Sacramento, CA 95817-2201 | 2017-04-12 |
| 1154702892 | Jeffrey A Sweat Md PC | Surgery | 83 Scripps Dr, Suite 130, Sacramento, CA 95825-6319 | 2015-06-17 |
| 1679915565 | Shriners Hospitals for Children | Surgery | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2013-07-22 |
| 1225302516 | Dattesh Rajendra Dave | Surgery | 2335 Stockton Blvd, 6th Floor, 6011-3, Sacramento, CA 95817 | 2012-03-03 |
| 1497075980 | Shuhao Zhang | Surgery | 3000 Q St Fl 5, Sacramento, CA 95816-7058 | 2010-06-07 |
| 1891014965 | Rohit Jaiswal | Surgery | 2315 Stockton Blvd Rm 6309, Sacramento, CA 95817-2201 | 2010-05-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.