Tatyana Khomits

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

11118 Issued in CA

Practice address

2540 Carmichael Way
Carmichael, CA 95608-5314

Phone

(916) 482-0465

NPI assigned

Jan 3, 2017

Last updated

May 30, 2017By the provider in NPPES

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 names 1

• Tatyana Derevyanchuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1619412442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 CARMICHAEL WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 CARMICHAEL WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085314",
            "telephone_number": "916-482-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOMITS",
        "first_name": "TATYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "DEREVYANCHUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Leann Khachi, PA-C
• Sandhya Khadgi
• Roziqa Khalid, MD
• Akbar Khan, D.O.
• Sukhdev Singh Khangura, MD
• Mohammad Sina Khorasani, MD
• Haya Khudhur, MD
• Aaron Kian, MD
• Norman Dennis Kikuchi, MD
• Dean Kim, M.D.

• Physical Therapy Assistant in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.