DR. TINA GODWIN WADIWALA D.O.
NPI 1215230164
Family Medicine in Pasadena, CA

Q: What is Tina Wadiwala's NPI number?

The NPI number for Tina Wadiwala is 1215230164. It was assigned to this individual provider in the NPPES registry on December 15, 2010. The provider is also known as Dr. Tina Godwin D.O..

Q: What is Tina Wadiwala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Wadiwala was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2010PECOS Enrolled

107 S FAIR OAKS AVE STE 313, PASADENA, CA 91105(626) 487-7766 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2023, Mar 17, 2018, Feb 22, 2018 (3 updates tracked since 2018).

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About Dr. Tina Godwin Wadiwala D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TINA GODWIN WADIWALA D.O. (NPI 1215230164) is an individual family medicine provider in Pasadena, California, licensed in California (20A11528) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215230164

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TINA GODWIN WADIWALACredential: D.O.

Location Address107 S FAIR OAKS AVE STE 313Pasadena, CA 91105-2084

Mailing Address107 S Fair Oaks Ave Ste 313Pasadena, CA 91105-2084 · (626) 487-7766

Phone(626) 487-7766

Sole ProprietorNo

Enumeration DateDecember 15, 2010

Last NPPES UpdateMay 23, 20233 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1215230164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A11528

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 S FAIR OAKS AVE STE 313, Pasadena, CA 91105

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Other Names 1

Professional Name (2)Dr. Tina Godwin D.o.

Secondary Practice Locations 2

Location 150 Bellefontaine St Ste 403Pasadena, CA 91105-3132 · Phone (626) 792-1912 · Fax (626) 792-1960

Location 2220 E Spring Valley PikeCenterville, OH 45458-2653 · Phone (937) 436-3117 · Fax (937) 436-0730

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tina Godwin Wadiwala D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YESENIA LOPEZ

Counselor (Mental Health)

107 S FAIR OAKS AVE STE 313
PASADENA, CA 91105

Los Angeles County (818) 554-8475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Wadiwala's NPI number?

The NPI number for Tina Wadiwala is 1215230164. It was assigned to this individual provider in the NPPES registry on December 15, 2010. The provider is also known as Dr. Tina Godwin D.O..

Where is Tina Wadiwala located?

Tina Wadiwala practices at 107 S Fair Oaks Ave Ste 313, Pasadena, CA 91105. The listed phone number is (626) 487-7766.

What is Tina Wadiwala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tina Wadiwala enrolled in Medicare?

Yes. Tina Wadiwala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Wadiwala was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.