Individual provider Active NPI

Natalia Yaikova, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1730909599
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119297 Issued in FL
Practice address
323 SE 23Rd Ave
Boynton Beach, FL 33435-7234
Phone
(561) 737-1818
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9119297 FL Primary

Addresses

Primary practice location

323 SE 23Rd Ave
Boynton Beach, FL 33435-7234

Mailing address

6097 Balboa Cir Apt 201
Boca Raton, FL 33433-8166
Phone (786) 800-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119297FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Heart & Vascular, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

323 SE 23rd Ave
Boynton Beach, FL 33435
Phone 5615005347168

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1730909599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 BALBOA CIR APT 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338166",
            "telephone_number": "786-800-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357234",
            "telephone_number": "561-737-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAIKOVA",
        "first_name": "NATALIA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.