Tatyana V. Borodulin MD, Inc
NPI 1629153697 · Family Medicine Physician · Campbell, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tatyana V. Borodulin MD, Inc is a Family Medicine Physician organization in Campbell, CA (NPI 1629153697).
Provider details
- NPI number
- 1629153697
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tatyana Borodulin, Doctor(408) 378-3330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Campbell Family Practice
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2014-03-04
Frequently asked questions
- What is Tatyana V. Borodulin MD, Inc's NPI number?
- Tatyana V. Borodulin MD, Inc's National Provider Identifier (NPI) is 1629153697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tatyana V. Borodulin MD, Inc?
- Tatyana V. Borodulin MD, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tatyana V. Borodulin MD, Inc located?
- Tatyana V. Borodulin MD, Inc's practice location on file with NPPES is 1600 W Campbell Ave, Campbell, CA 95008-1526.
- What is Tatyana V. Borodulin MD, Inc's phone number?
- The practice phone number listed in the NPPES registry for Tatyana V. Borodulin MD, Inc is (408) 375-3300.
- Does Tatyana V. Borodulin MD, Inc accept Medicare?
- Tatyana V. Borodulin MD, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tatyana V. Borodulin MD, Inc?
- The authorized official listed on Tatyana V. Borodulin MD, Inc's NPPES record is Tatyana Borodulin, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tatyana V. Borodulin MD, Inc's NPI active?
- Yes — Tatyana V. Borodulin MD, Inc's NPI (1629153697) is active in the NPPES registry as of the last update on 2014-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.