Organization Active NPI

Nicholas TJ Yatco DDS Inc

  • Dental Clinic/Center
  • Castro Valley, CA
National Provider Identifier
1912565151
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NICHOLAS TJ YATCO DDS INC
Practice address
20600 Lake Chabot Rd
Castro Valley, CA 94546-5432
Phone
(510) 581-4124
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Dr. Nicholas TJ Yatco, DDS
Title
Dentist
Phone
(510) 386-9176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20600 Lake Chabot Rd
Castro Valley, CA 94546-5432

Mailing address

20600 Lake Chabot Rd Ste 103
Castro Valley, CA 94546-5432
Phone (510) 581-4124

Other practice location 1

6822 Jarvis Ave
Newark, CA 94560-1172
Phone (510) 386-9176

National Provider Directory

National Provider Directory

Locations

20600 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 581-4124

20600 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 581-4124

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1912565151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 LAKE CHABOT RD STE 103",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465432",
            "telephone_number": "510-581-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465432",
            "telephone_number": "510-581-4124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6822 Jarvis Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "CA",
            "postal_code": "945601172",
            "country_code": "US",
            "telephone_number": "510-386-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS TJ YATCO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "YATCO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "TJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-386-9176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.