1. Home
  2. Directory
  3. California
  4. Porterville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

IGOR GORODNIUK
NPI 1306541628
Student in an Organized Health Care Education/Training Program in Porterville, CA

Active since April 04, 2023PECOS Enrolled
465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 784-1110 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Igor Gorodniuk NPPES

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

IGOR GORODNIUK (NPI 1306541628) is an individual student in an organized health care education/training program in Porterville, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306541628
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIGOR GORODNIUK
Location Address465 W PUTNAM AVEPorterville, CA 93257-3320
Mailing Address465 W Putnam AvePorterville, CA 93257-3320 · (323) 317-3195
Phone(559) 784-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1306541628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
465 W PUTNAM AVE, Porterville, CA 93257
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Igor Gorodniuk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385104777
PECOS Enrollment IDI20260904000735
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.

Medicare Billing Reassignment

Medicare enrollment records show Igor Gorodniuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Valley Critical Care Medicine - A Professional Corporat
40 mi
Critical Care Medicine
115 MALL DR
Hanford, CA 93230
  • Reassigned Medicare billing, California enrollment
  • 56 clinicians in this Medicare group
NPI 1366829640 (559) 582-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

LAUREN ALEXA MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
DONALD JAMES CHRISTIAN P.A-C
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
CATHERINE NICHOLAS MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
DR. ASHOT MINASYAN MD
Internal Medicine (Cardiovascular Disease)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
JOSHUA CAZARES
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
TANVEER SINGH MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JORGE LUIS CABALLERO MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JAMES ZHAO DO
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110

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 Igor Gorodniuk's NPI number?

The NPI number for Igor Gorodniuk is 1306541628. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Igor Gorodniuk located?

Igor Gorodniuk practices at 465 W Putnam Ave, Porterville, CA 93257. The listed phone number is (559) 784-1110.

What is Igor Gorodniuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Igor Gorodniuk enrolled in Medicare?

Yes. Igor Gorodniuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Igor Gorodniuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Igor Gorodniuk reassigns Medicare benefits to Central Valley Critical Care Medicine - A Professional Corporat (Hanford, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Igor Gorodniuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Igor Gorodniuk was last updated on April 4, 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.