YAN KALIKA DENTAL CORPORATION (NPI# 1912475807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912475807 |
| Entity Type | Organization |
| Organization Name | YAN KALIKA DENTAL CORPORATION |
| Other Organization Name | GOLDEN STATE SMILES |
| Practice Address |
1851 Sutter St Concord CA 94520-2559 |
| 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 STATE 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 |
| 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 |
1851 SUTTER ST |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063508737 | James Bailey Jr. | Dentist | 1851 Sutter St, Concord, CA 94520-2520 | 2006-10-04 |
| 1649747577 | Golden State Smiles | Dentist | 1851 Sutter St, Concord, CA 94520-2559 | 2018-10-29 |
| 1346654357 | Shirin Hamed | Dentist | 1851 Sutter St, Concord, CA 94520-2559 | 2014-06-17 |
| 1952594053 | Nkemjika Susan Obiechina | Dentist | 1851 Sutter St, Concord, CA 94520-2559 | 2007-08-22 |
| 1508938101 | Community Dental Services | Dentist | 1851 Sutter St, Concord, CA 94520-2520 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1932729688 | O'brien and West Dmd, Ix, Pllc | Dentist | 40 Pitts School Rd Sw, Concord, NC 28027-2761 | 2020-04-23 |
| 1427698877 | Colin S. Ilas D.d.s. | Dentist | 2030 Diamond Blvd Ste 25, Concord, CA 94520-5753 | 2020-01-14 |
| 1396383345 | Isioma A Okonmah, D.d.s., M.p.h., P.a. Concord | Dentist | 538 Lake Concord Rd Ne, Concord, NC 28025-2926 | 2019-12-19 |
| 1740758044 | Armentha Prosper-chicas | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2018-11-05 |
| 1679065015 | Brian Patrick Ganley | Dentist | 290 Baker Ave Ste N224, Concord, MA 01742-2192 | 2018-06-01 |
| 1659899094 | Sachin Patel, D.d.s., A Professional Dental Corporation | Dentist | 2975 Treat Blvd Ste E2, Concord, CA 94518-3699 | 2017-09-06 |
| 1386173078 | Christina Marie Mccann | Dentist | 9 Triangle Park Dr Ste 9, Concord, NH 03301-5790 | 2017-06-07 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1295196731 | John Edward Kempter Dds Pllc | Dentist | 1000 Copperfield Blvd Ne Ste 154, Concord, NC 28025-2454 | 2016-03-11 |
| Find all providers in CONCORD | ||||
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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.