Individual provider Active NPI

Yolaine M Chamblin, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1093748204
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88893 Issued in FL
Practice address
10280 Pines Blvd Ste P701
Pembroke Pines, FL 33026-6057
Phone
(954) 323-8446
Fax
(954) 323-8207
NPI assigned
Jul 9, 2006
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME88893 FL Primary

Addresses

Primary practice location

10280 Pines Blvd Ste P701
Pembroke Pines, FL 33026-6057

Mailing address

10280 Pines Blvd Ste P701
Pembroke Pines, FL 33026-6057
Phone (954) 323-8446

Other identifiers 2

IdentifierTypeStateIssuer
U2485DOtherFLMEDICARE ID
2699943500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001209 FL Practitioner - Family Practice 5597748731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

19411 NW 2ND Ave
PCC of North Miami
Miami, FL 33169-3314
Phone (305) 653-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 18, 2021 Accepting new patients
PCC Medical Holdings LLC CurrentSince May 1, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 18, 2021 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
North General Center Urgent Care PastSince Mar 1, 2015 Accepting new patients
TBHC Medical Services PC Family Medicine Past Accepting new patients
Chen Neighborhood Medical Centers of South Florida LLC PastSince Dec 1, 2021 Accepting new patients
Central Therapy Center, Inc. Past Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

13377 W Dixie Hwy
North Miami, FL 33161
Phone (305) 893-8306

13377 W Dixie Hwy
Fl 1
North Miami, FL 33161
Phone (305) 893-8306

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

19411 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 653-1131

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

9501 Anderson Rd
Tampa, FL 33634
Phone (813) 413-7333

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: yolaine.chamblin.1@32578.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1093748204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 PINES BLVD STE P701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266057",
            "telephone_number": "954-323-8446",
            "fax_number": "954-323-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 PINES BLVD STE P701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266057",
            "telephone_number": "954-323-8446",
            "fax_number": "954-323-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "YOLAINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "U2485D",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2699943500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.