TATYANA VAYNGORTIN M.D.
NPI 1578967907
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Tatyana Vayngortin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATYANA VAYNGORTIN M.D. (NPI 1578967907) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A128532) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tatyana Vayngortin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Tatyana Vayngortin's NPI number?
The NPI number for Tatyana Vayngortin is 1578967907. It was assigned to this individual provider in the NPPES registry on October 14, 2014.
Where is Tatyana Vayngortin located?
Tatyana Vayngortin practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Tatyana Vayngortin's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Tatyana Vayngortin enrolled in Medicare?
Yes. Tatyana Vayngortin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tatyana Vayngortin was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tatyana Vayngortin, M.D. · NPI 1578967907
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 14, 2014.
## Identity
- **NPI:** 1578967907 (Entity type: Individual)
- **Enumerated:** October 14, 2014
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A128532 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1578967907) · Data from the CMS NPPES public registry.