Tatyana Yashchuk

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49255 Issued in CA

Legal business name

TATYANA YASHCHUK

Practice address

2161 Ygnacio Valley Rd
Suite 101
Walnut Creek, CA 94598-3396

Phone

(925) 705-7093

Fax

(925) 952-7050

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tatyana L. YashchukNPI 1689891228

Title

DDS

Phone

(925) 705-7093

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Golden State Dentistry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatyana Yashchuk, D.D.S.

  • Dentist
  • Walnut Creek, CA
  • NPI 1689891228
  NPD (past) Authorized official
• Elena Yashchuk, DDS

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1275102246
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1902296809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983342",
            "telephone_number": "925-705-7093",
            "fax_number": "925-952-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 YGNACIO VALLEY RD",
            "address_2": "SUITE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983396",
            "telephone_number": "925-705-7093",
            "fax_number": "925-952-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATYANA YASHCHUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "YASHCHUK",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "925-705-7093",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689891228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Lauren Tarantino, D.O.
• Nariah Tarap
• Gerald L Tarder, M.D.
• Adeline Tran Tarr, DO
• Angela Tate-Agnew
• Mark Majid Tavakoli, DDS., MS.
• Josh Taves, LAC
• Stacy Janel Taylor Linder, LMFT
• Alicia Taylor
• Brian Douglas Taylor, CRNA

• Dental Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.