Active NPI
Yana Pekarski, D.D.S.
- Dentist
- Carmichael, CA
National Provider Identifier
1841448610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58170
- Practice address
- 5931 Stanley Ave Ste 3
Carmichael, CA 95608-3846 - Phone
- (165) 072-1229
- NPI assigned
- Sep 4, 2008
- Last updated
- Jun 16, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2334 | HI | |
| General Practice Dentistry | 1223G0001X | 2334 | HI | |
| Dentist | 122300000X | 58170 | CA | Primary |
Addresses
Primary practice location
5931 Stanley Ave Ste 3
Carmichael, CA 95608-3846
Mailing address
5931 Stanley Ave Ste 3
Carmichael, CA 95608-3846
Phone (916) 507-2122
Other names 1
- Dr. Yana Gedarevich
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 |
|---|---|---|---|
| 58170 | CA | MD | Dentist |
| 2334 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuolumne Me-Wuk Indian Health Center, Inc. | Past | Accepting new patients | |
| Tuolumne Mewuk Indian Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tuolumne Me-Wuk Health and Wellness Center
- Family Medicine Physician
- Sonora, CA
- NPI 1124286885
-
- Family Medicine Physician
- Tuolumne, CA
- NPI 1619952397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1841448610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5931 STANLEY AVE STE 3",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083846",
"telephone_number": "916-507-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5931 STANLEY AVE STE 3",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083846",
"telephone_number": "165-072-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKARSKI",
"first_name": "YANA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "2334",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "2334",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YANA",
"last_name": "GEDAREVICH",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.