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CAMPBELL FAMILY PRACTICE
NPI 1629153697
Family Medicine in Campbell, CA

Active since October 26, 2006
1600 W CAMPBELL AVE, SUITE 202, CAMPBELL, CA 95008(408) 375-3300(408) 378-6822 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Campbell Family Practice NPPES

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

CAMPBELL FAMILY PRACTICE (NPI 1629153697) is a healthcare organization registered as a family medicine in Campbell, California and active in the NPI registry since October 2006. The organization lists Tatyana V Borodulin, Doctor, as its authorized official.

NPPES Registry Identity

NPI1629153697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTATYANA V. BORODULIN MD, INC
Location Address1600 W CAMPBELL AVE, SUITE 202Campbell, CA 95008-1526
Mailing Address1600 W Campbell Ave, Suite 202Campbell, CA 95008-1526 · (408) 375-3300 · Fax (408) 378-6822
Phone(408) 375-3300
Fax(408) 378-6822
Organization SubpartNo
Authorized OfficialTatyana V BorodulinDoctor · (408) 378-3330
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 4, 2014
✔ NPI 1629153697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1600 W CAMPBELL AVE, Campbell, CA 95008
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Other Names 1

Doing Business AsCampbell Family Practice

Other Identifiers 1

Medicare PINZZZ22056ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

ZAVACKI CHIROPRACTIC, INC
Chiropractor
1600 W CAMPBELL AVE, SUITE 203
CAMPBELL, CA 95008
Santa Clara County (408) 370-2181
NELSON ALEXANDER DIAZ-CALDERON
Case Manager/Care Coordinator
1600 W CAMPBELL AVE
CAMPBELL, CA 95008
Santa Clara County (408) 846-2100
RODERICK REYES
Case Manager/Care Coordinator
1600 W CAMPBELL AVE, SUIT 102
CAMPBELL, CA 95008
Santa Clara County (408) 871-4965
DR. MICHELLE GRADY PSYD
Psychologist
1600 W CAMPBELL AVE, SUITE 201
CAMPBELL, CA 95008
Santa Clara County (408) 871-4935
BLANCA YVETTE VILLA ASW
Social Worker (Clinical)
1600 W CAMPBELL AVE, SUITE 102
CAMPBELL, CA 95008
Santa Clara County (408) 871-4917
MR. PAUL ARTHUR CABRAL JR. MHRS
Rehabilitation Practitioner
1600 W CAMPBELL AVE, 201
CAMPBELL, CA 95008
Santa Clara County (408) 871-4958
MS. SERENA DAWN MISLEY
Marriage & Family Therapist
1600 W CAMPBELL AVE, SUITE 201
CAMPBELL, CA 95008
Santa Clara County (408) 871-4925
TRACEY FULLER
Counselor (Professional)
1600 W CAMPBELL AVE, SUITE 201
CAMPBELL, CA 95008
Santa Clara County (408) 871-4900

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 V. Borodulin MD, Inc's NPI number?

The NPI number for Tatyana V. Borodulin MD, Inc is 1629153697. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Campbell Family Practice.

Where is Tatyana V. Borodulin MD, Inc located?

Tatyana V. Borodulin MD, Inc is located at 1600 W Campbell Ave Suite 202, Campbell, CA 95008. The listed phone number is (408) 375-3300.

What is Tatyana V. Borodulin MD, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Tatyana V. Borodulin MD, Inc was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.