Active NPI
Tatyana Goldin, D.O
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- OS10425
- Practice address
- 5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349 - Phone
- (877) 868-4827
- Fax
- (877) 283-0663
- NPI assigned
- May 1, 2009
- Last updated
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | OS10425 | FL | Primary |
Addresses
Primary practice location
5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349
Mailing address
5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349
Phone (877) 868-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000
4520 Business Ctr Dr
Suite 200
Fairfield, CA 94534-6888
Phone (707) 646-3500
670 N McCarthy Blvd
Suite 200
Milpitas, CA 95035-5119
Phone (877) 868-4827
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10425 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Health Medical Foundation | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Vitas Health Services of California Inc | Hospice and Palliative Medicine | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Vitas Solutions Inc | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
4520 Business Center Dr
Ste 200
Fairfield, CA 94534
Phone 7076463500 ext. 3524
670 N McCarthy Blvd
Ste 200
Milpitas, CA 95035
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
101 Main St
Winters, CA 95694
Phone (530) 795-4123
5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277
5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
3720 Executive Way
Miramar, FL 33025
255 E 5th St
Ste 1050
Cincinnati, OH 45202
1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000
Organizations & group practices 5
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.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba Palliative Medical Associates of California
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Covina, CA
- NPI 1780973024
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1881838001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 NW 33RD AVE",
"address_2": "SUITE 106",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333096349",
"telephone_number": "877-868-4827",
"fax_number": "877-283-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 NW 33RD AVE",
"address_2": "SUITE 106",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333096349",
"telephone_number": "877-868-4827",
"fax_number": "877-283-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDIN",
"first_name": "TATYANA",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "OS10425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.