YEHENEW B. YESHIWAS (NPI# 1568906352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568906352 |
| Entity Type | Individual |
| Full Name | YEHENEW B. YESHIWAS |
| Practice Address |
23500 Kasson Road Tracy CA 95378 |
| Mailing Address |
426 Cypress Ave San Jose CA 95117-1529 |
| Practice Telephone | 2098354141 |
| Practice Fax Number | 2098303807 |
| Mailing Telephone | 4082502570 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59364 | CA | Pharmacy Service Providers |
| Street Address |
23500 KASSON ROAD |
| City | TRACY |
| State | CA |
| Zip Code | 95378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922210434 | California Deparmen of Correction | Public Health or Welfare | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-04 |
| 1982078630 | Janet Joanne Graham | Licensed Practical Nurse | 23500 Kasson Road, Tracy, CA 95304 | 2015-11-18 |
| 1104228741 | Hinh Nguyen | Pharmacist | 23500 Kasson Road, Tracy, CA 95376 | 2014-09-25 |
| 1689099129 | Norma Hernandez | Social Worker | 23500 Kasson Road, Tracy, CA 95376 | 2014-02-20 |
| 1790025617 | Patricia Miller | Psychologist | 23500 Kasson Road, Tracy, CA 95376 | 2013-03-01 |
| 1104166198 | Gurmel Singh Dhaliwal | Case Manager/Care Coordinator | 23500 Kasson Road, Tracy, CA 95376 | 2013-02-27 |
| 1891970745 | Brian Sun Leo | Family Medicine | 23500 Kasson Road, Tracy, CA 95378-0004 | 2008-01-09 |
| 1376728782 | Rosellen Diehl | Dentist | 23500 Kasson Road, Deuel Vocational Institution, Tracy, CA 95378-0400 | 2008-01-03 |
| 1760670509 | Franklin Rafanan | Social Worker | 23500 Kasson Road, Tracy, CA 95304 | 2007-10-05 |
| 1396955035 | Filadelfo Velasquez Oandasan Jr. | Internal Medicine | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245416817 | Michelle Y Street | Physician Assistant | 23,500 Kasson Rd, Tracy, CA 95378 | 2008-01-14 |
| 1831505809 | Frederick Curtis | Physician Assistant | 23500 Kasson Rd, Tracy, CA 95378 | 2014-07-10 |
| 1073870150 | Grant Joel Franceschi | Psychologist | 23500 Kasson Rd, Tracy, CA 95378 | 2012-04-13 |
| 1679800627 | Martin Henry Jansen | Psychiatry & Neurology | 23500 Kasson Rd, Tracy, CA 95378 | 2009-11-12 |
| 1821412974 | Carol Roberta Anderson | Psychologist | 23500 Kasson Rd., Tracy, CA 95378-0400 | 2014-02-10 |
| 1326592577 | Assist2transport, LLC | Non-emergency Medical Transport (VAN) | 125 W 9th St Unit 1083, Tracy, CA 95378-3043 | 2016-08-04 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383503 | Jessica Ocegueda | Pharmacist | 326 W 21st St, Tracy, CA 95376-2520 | 2020-10-14 |
| 1740756089 | Taranpreet Takhar | Pharmacist | 8538 Waterwell Way, Tracy, CA 95304-8113 | 2018-10-14 |
| 1619401361 | Brian Win | Pharmacist | 632 Morton Way, Tracy, CA 95377-8555 | 2017-04-19 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1104360411 | Ravneet Kaur | Pharmacist | 515 S Derone Ln, Tracy, CA 95376-8115 | 2016-12-06 |
| 1992182935 | Lalaine Raquipiso | Pharmacist | 2064 Foxclove Dr, Tracy, CA 95376-6760 | 2015-04-29 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1083025746 | Dharani Narne | Pharmacist | 2550 S Tracy Blvd, Tracy, CA 95376-9102 | 2014-05-15 |
| 1073955902 | Dean A Lichty | Pharmacist | 48 Owanla Lane, Tracy, MN 56175 | 2013-07-19 |
| 1750659942 | Bryant Pham | Pharmacist | 2160 W Grant Line Rd Ste 205, Tracy, CA 95377-7333 | 2011-12-02 |
| 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.