Individual provider Active NPI

Svetlana Gorelikova, M.D.

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1699953604
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A102339 Issued in CA
Practice address
38780 Trade Center Dr # 1C
Palmdale, CA 93551
Phone
(661) 947-5600
Fax
(800) 890-6055
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A102339 CA
Family Medicine Physician 207Q00000X A102339 CA Primary

Addresses

Primary practice location

38780 Trade Center Dr # 1C
Palmdale, CA 93551

Mailing address

38780 Trade Center Dr # 1C
Palmdale, CA 93551-3641
Phone (661) 947-5600

Other practice location 1

540 W Palmdale Blvd
Suite B
Palmdale, CA 93551-4232
Phone (661) 947-5600

Other practice location 2

540 W Palmdale Blvd
Suite B
Palmdale, CA 93551-4232
Phone (661) 947-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL officeally.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000575 CA Practitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 3870644545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmdale Medical Clinic IncGroup PAC ID 2264703743, 2 clinicians

Practice addresses (Care Compare)

1110 S Glendale Ave
Suite E
Glendale, CA 91205-5623
Phone (818) 945-5502

38780 Trade Ctr Dr
Suite 1C
Palmdale, CA 93551-3641
Phone (661) 947-5600

Hospital & facility affiliations

  • Best Home Care of SCV Inc Home health agency, Santa Clarita, CA, CCN 757156
  • Asap Home Health Care, Inc Home health agency, Glendale, CA, CCN 559299
  • Blue Sky Home Health, Inc Home health agency, Mission Hills, CA, CCN 058475

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mensa Family Clinic Inc Family Medicine CurrentSince Mar 11, 2019 Accepting new patients
Palmdale Medical Clinic Inc Family Medicine CurrentSince May 16, 2017 Accepting new patients

Locations

1110 S Glendale Ave
Ste E
Glendale, CA 91205
Phone (818) 945-5502

540 W Palmdale Blvd
#B
Palmdale, CA 93551
Phone (661) 274-9900

38780 Trade Center Dr
#1C
Palmdale, CA 93551
Phone (661) 575-0705

38780 Trade Center Dr
Ste 1C
Palmdale, CA 93551
Phone (661) 947-5600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1699953604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38780 TRADE CENTER DR # 1C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513641",
            "telephone_number": "661-947-5600",
            "fax_number": "800-890-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38780 TRADE CENTER DR # 1C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-947-5600",
            "fax_number": "800-890-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 W Palmdale Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514232",
            "country_code": "US",
            "telephone_number": "661-947-5600",
            "fax_number": "661-947-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 W Palmdale Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514232",
            "country_code": "US",
            "telephone_number": "661-947-5600",
            "fax_number": "661-947-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORELIKOVA",
        "first_name": "SVETLANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A102339",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officeally.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PALMDALE",
            "address_1": "38780 Trade Center Dr # 1C",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.