Healthcare Provider Details

I. General information

NPI: 1871884999
Provider Name (Legal Business Name): VERONIKA MESHERIAKOVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONIKA HOLBECK

II. Dates (important events)

Enumeration Date: 04/23/2011
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 BANCROFT RD # 231
WALNUT CREEK CA
94598-1531
US

IV. Provider business mailing address

712 BANCROFT RD # 231
WALNUT CREEK CA
94598-1531
US

V. Phone/Fax

Practice location:
  • Phone: 925-952-5550
  • Fax: 925-891-3356
Mailing address:
  • Phone: 605-366-9630
  • Fax: 925-891-3356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberA129809
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA129809
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA129809
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: