Active NPI
Olena Kotova Lineberry, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A129184
- Practice address
- 1004 Fowler Way Ste 4
Placerville, CA 95667-5746 - Phone
- (530) 626-9488
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A129184 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A129184 | CA | Primary |
Addresses
Primary practice location
1004 Fowler Way Ste 4
Placerville, CA 95667-5746
Mailing address
PO Box 45680 Physician Support Services
San Francisco, CA 94145-7956
Phone (530) 626-2787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141021000105 | CA | Practitioner - Critical Care (Intensivists) | 2264699057 | Reassigns benefits to 6 organizations |
| I20230817002152 | MI | Practitioner - Critical Care (Intensivists) | 2264699057 | Reassigns benefits to 1 organization |
| I20231011000314 | TX | Practitioner - Critical Care (Intensivists) | 2264699057 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 646-7000
1010 Nut Tree Rd
Suite 100B and 200
Vacaville, CA 95687-4172
Phone (707) 646-7999
1020 Nut Tree Rd
Vacaville, CA 95687-4100
1095 Marshall Way
Suite 100
Placerville, CA 95667-5722
Phone (530) 626-2920
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-5000
1860 Pennsylvania Ave
Suite 200
Fairfield, CA 94533-3550
Phone (707) 646-4180
5001 Auburn Folsom Rd
Loomis, CA 95650-9420
Phone (916) 865-4668
Hospital & facility affiliations
- Marshall Medical Center
- Northbay Medical Center
- Sutter Medical Center, Sacramento
- Banner Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129184 | CA | MD | Clinical Social Worker |
| A129184 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Marshall Medical Center | Current | Accepting new patients | |
| Veeone Medical Group PA | Critical Care Medicine | Current | Accepting new patients |
| Marshall Medical Center | Current | Accepting new patients | |
| Ccmma Ca PC | Critical Care Medicine | Current | Accepting new patients |
| Veeone Medical Group II Professional Corporation | Critical Care Medicine | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Health Medical Foundation | Pulmonary Disease | Current | Accepting new patients |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Aminia Physicians Group PLLC | Past | Accepting new patients |
Locations
3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
1860 Pennsylvania Ave
Ste 200
Fairfield, CA 94533
Phone (707) 427-5211
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601
1420 E Roseville Pkwy
Ste 140
Roseville, CA 95661
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
1010 Nut Tree Rd
Ste 100
Vacaville, CA 95687
Phone (707) 333-3065
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
101 Main St
Winters, CA 95694
Phone (530) 795-4123
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
11111 Katy Fwy
Ste 910
Houston, TX 77079
Phone (646) 687-4629
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
CA, Pulmonary Disease
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1043928443
CA, Critical Care Medicine
-
- Critical Care Medicine (Anesthesiology) Physician
- Redding, CA
- NPI 1679293443
CA, Critical Care Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
CA, Critical Care Medicine, MI, TX
-
- Family Medicine Physician
- Placerville, CA
- NPI 1326286048
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Fairfield, CA
- NPI 1780736736
-
- Internal Medicine Physician
- Plano, TX
- NPI 1437502481
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1093987364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45680 PHYSICIAN SUPPORT SERVICES",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941457956",
"telephone_number": "530-626-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 FOWLER WAY STE 4",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675746",
"telephone_number": "530-626-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBERRY",
"first_name": "OLENA",
"middle_name": "KOTOVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A129184",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A129184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.