Individual provider Active NPI

Yashaswini Tatineni

  • General Practice Dentistry
  • Galt, CA
National Provider Identifier
1891524666
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
113102 Issued in CA
Practice address
10360 Twin Cities Rd Ste 10
Galt, CA 95632-9063
Phone
(617) 792-9884
NPI assigned
Jul 30, 2024
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 113102 CA Primary

Addresses

Primary practice location

10360 Twin Cities Rd Ste 10
Galt, CA 95632-9063

Mailing address

10360 Twin Cities Rd Ste 10
Galt, CA 95632-9063
Phone (617) 792-9884

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

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1891524666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 TWIN CITIES RD STE 10",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956329063",
            "telephone_number": "617-792-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 TWIN CITIES RD STE 10",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956329063",
            "telephone_number": "617-792-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "YASHASWINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.