Tabassom Priscilla Golchoobian, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

42318 Issued in CA

Practice address

2451 Jamacha Rd Ste 104
El Cajon, CA 92019-4324

Phone

(619) 444-0500

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: tgolchoobian18342@syhealth.direct-ci.com

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1033559331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 JAMACHA RD STE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194324",
            "telephone_number": "619-444-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 JAMACHA RD STE 104",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194324",
            "telephone_number": "619-444-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLCHOOBIAN",
        "first_name": "TABASSOM",
        "middle_name": "PRISCILLA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA LICENSE NUMBER",
            "identifier": "42318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Shay Goble, RDHAP
• Kassandra Yanel Godina
• Stephanie Godinez
• Neena Avinash Gokli, M.A.
• Steven Golbus, MD
• Golden Age Enterprises
• Donte Golden
• Samantha Golfo
• Lilly Gollihur
• Abigail Marian Golseth, DC

• Dentist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.