YAN KALIKA DENTAL CORPORATION (NPI# 1598233496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598233496 |
| Entity Type | Organization |
| Organization Name | YAN KALIKA DENTAL CORPORATION |
| Other Organization Name | GOLDEN VALLEY SMILES |
| Practice Address |
1010 Shaw Ave Ste B Clovis CA 93612-3950 |
| 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 |
|---|---|
| GOLDEN VALLEY 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 |
| 1003384991 | Yan Kalika Dental Corporation | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-11-08 |
| 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 |
| Street Address |
1010 SHAW AVE STE B |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801229562 | Dena Gideon-hensley | Dental Hygienist | 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 | 2013-08-16 |
| 1184198061 | Anmoljit Kaur Sandhu | Dental Hygienist | 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 | 2019-01-14 |
| 1013484971 | Golden Valley Smiles | Dentist | 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| 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 |
|---|---|---|---|---|
| 1669087623 | Eduardo Meza Prieto | Dentist | 1315 Shaw Ave Ste 102, Clovis, CA 93612-3963 | 2020-09-15 |
| 1588279723 | Akram Abdo Saad | Dentist | 362 N Matisse Ln, Clovis, CA 93611-6188 | 2020-09-14 |
| 1063023158 | Lovik Mirzaeian Dds Inc. | Dentist | 1592 Shaw Ave, Clovis, CA 93611-4028 | 2020-08-12 |
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1013567882 | Kawano Dental | Dentist | 149 N. Clovis Ave., Suite 101, Clovis, CA 93612-9361 | 2019-09-13 |
| 1639736762 | Ozder Dental Corporation | Dentist | 1330 Shaw Ave, Clovis, CA 93612-3985 | 2019-05-23 |
| 1417477480 | Christian Lopez Cornejo | Dentist | 334 Shaw Ave Ste 103, Clovis, CA 93612-3839 | 2017-06-21 |
| 1194107565 | Shenye He | Dentist | 600 Texas St, Suite #c, Clovis, NM 88101-9410 | 2015-06-22 |
| 1356749311 | Ronald Walker Jr. | Dentist | 1095 Herndon Ave # 102, Clovis, CA 93612-0504 | 2014-12-08 |
| 1184025512 | Derek Yoshi Kawano | Dentist | 180 W Bullard Ave, Suite 101, Clovis, CA 93612-0900 | 2014-09-04 |
| Find all providers in CLOVIS | ||||
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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.