Active NPI
Carla Cheri Laster, REG DENTAL HYGIENIST
- Dental Hygienist
- Oakland, CA
National Provider Identifier
1093207029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27300
- Practice address
- 700 Adeline St
Oakland, CA 94607-2608 - Phone
- (510) 835-9610
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27300 | CA | Primary |
Addresses
Primary practice location
700 Adeline St
Oakland, CA 94607-2608
Mailing address
700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306967021 | Medicaid | CA |
Other names 1
- Carla Cheri Yates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27300 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1093207029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072608",
"telephone_number": "510-835-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072608",
"telephone_number": "510-835-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASTER",
"first_name": "CARLA",
"middle_name": "CHERI",
"credential": "REG DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306967021",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "YATES",
"middle_name": "CHERI",
"credential": "REG DENTAL HYGIENIST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.