CAMPBELL FAMILY PRACTICE
NPI 1629153697
Family Medicine in Campbell, CA

Q: 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.

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

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

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: October 25, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Campbell Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Campbell Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tatyana Borodulin, M.D.

Family Practice

NPI 1912940628

1600 W CAMPBELL AVE
Campbell, CA 95008

(408) 378-3300

✔ PECOS✔ Accepts MedicareSame address

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

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.

Is Tatyana V. Borodulin MD, Inc enrolled in Medicare?

Yes. Tatyana V. Borodulin MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tatyana V. Borodulin MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Tatyana V. Borodulin MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.