Zander Lin Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

59063 Issued in CA

Legal business name

ZANDER LIN DENTAL CORPORATION

Doing business as

Cali Bay Dental Care

Practice address

1581 Sycamore Ave
Ste 3
Hercules, CA 94547-1700

Phone

(510) 799-2900

Fax

(510) 799-2902

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By 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. Zander Lin, D.M.D.

Title

President

Phone

(510) 799-2900

Specialties & licenses 1

Addresses

Other names 1

• Cali Bay Dental Care Doing business as

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1154751220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE AVE",
            "address_2": "STE 3",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471700",
            "telephone_number": "510-799-2900",
            "fax_number": "510-799-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE AVE",
            "address_2": "STE 3",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471700",
            "telephone_number": "510-799-2900",
            "fax_number": "510-799-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANDER LIN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ZANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-799-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cali Bay Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Worobey, LCSW
• Laith Anwar Yacoub, R.PH
• Jaysen Yalung
• Timothy Yan, L.AC.
• Jennifer Yim, OTR/L

• Dentist in Hercules, CA
• Providers in Hercules, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.