Olaf Kristian Golubjatnikov

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NP95026352 Issued in CA

Practice address

46900 Ocean View Dr
Gualala, CA 95445-8458

Phone

(707) 884-4005

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kalev Golubjatnikov Other name

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: olaf.golubjatnikov.p1@direct.rcms-healthcare.nextgenshare.com

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.

• Redwood Coast Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gualala, CA
  • NPI 1962530725
  Medicare reassignment NPD
• Redwood Coast Medical Services, Inc.

  • Community Health Clinic/Center
  • Point Arena, CA
  • NPI 1275778847
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1336900968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MILLARD RD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391957",
            "telephone_number": "415-306-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46900 OCEAN VIEW DR",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954458458",
            "telephone_number": "707-884-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Montecillo Rd",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033308",
            "country_code": "US",
            "telephone_number": "415-444-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLUBJATNIKOV",
        "first_name": "OLAF",
        "middle_name": "KRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP95026352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEV",
            "last_name": "GOLUBJATNIKOV",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coast Life Support District
• Allen B. Cox Jr., D.D.S.
• Gena Lynn Davis, O.D.
• Lois Falk, N.P.
• Laura B Franklin, L.AC. M.S.
• Gualala Pharmacy, Inc.
• Holly Ramona Hamm, FNP-C
• Carolyn Hand, N.P.
• Douglas Scott Herting, DOCTOR OF CHIRO
• Stephanie Hsieh

• Family Medicine Physician in Gualala, CA
• Providers in Gualala, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.