Golden State Smiles

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GOLDEN STATE SMILES

Practice address

5130 Stevens Creek Blvd # B
San Jose, CA 95129-1019

Phone

(408) 557-9830

Fax

(916) 384-3844

NPI assigned

Sep 25, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yan Kalika, DDS

Title

Owner

Phone

(916) 702-1213

Specialties & licenses 1

Addresses

Tax ID family

Golden State Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Golden State Smiles

  • Dentist
  • Concord, CA
  • NPI 1649747577
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohana Ratna Shilpa Awasthi, DDS

  • Dentist
  • Santa Cruz, CA
  • NPI 1992012074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1023593118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-702-1213",
            "fax_number": "916-384-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 STEVENS CREEK BLVD # B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291019",
            "telephone_number": "408-557-9830",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-702-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden State Ambulance Inc.
• Golden State Audiology Associates
• Golden State Orthopedics & Spine
• Golden State Orthopedics & Spine
• Golden State Orthopedics & Spine
• Golden Wellness Transportation LLC
• Terrisa Lee Golden-Antonio, OTR
• Andreine Ellen Golden
• Nolan Golden
• Kimberly Marie Goldman

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.