Individual provider Active NPI

Vyacheslav Belous, D.O.

  • Anesthesiology Physician
  • Chico, CA
National Provider Identifier
1154636645
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A11870 Issued in CA
Practice address
376 Vallombrosa Ave
Ste 99
Chico, CA 95926-3900
Phone
(530) 891-1676
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A11870 CA Primary
Internal Medicine Physician 207R00000X UO2562 FL

Addresses

Primary practice location

376 Vallombrosa Ave
Ste 99
Chico, CA 95926-3900

Mailing address

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150820011861 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Other (Physician) 2365757218 Reassigns benefits to 1 organization
I20221103003277 WA Practitioner - Family Practice 2365757218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tran Urgent Care and Wellness Centers LLCGroup PAC ID 5890116677, 6 clinicians

Practice addresses (Care Compare)

516 S 38TH St
Suite a
Tacoma, WA 98418-6714
Phone (253) 719-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11870CAMDAnesthesiology Physician
UO2562FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Medical Center PS CurrentSince Aug 26, 2022 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Oct 1, 2021 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Brentwood Urgent Care CurrentSince Oct 1, 2021 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jan 23, 2025 Accepting new patients
Tran Urgent Care & Wellness Centers LLC CurrentSince Jul 1, 2025 Accepting new patients
400 29TH Street Northeast Operations LLC Past Accepting new patients
Impact Health Biometric Testing, Inc. Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

3000 Limited Ln NW
Olympia, WA 98502
Phone (360) 357-9392

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

516 S 38th St
Ste A
Tacoma, WA 98418
Phone (206) 579-8905

710 S 38th St
Ste B
Tacoma, WA 98418
Phone (253) 719-7767

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

9430 NE Vancouver Mall Dr
Vancouver, WA 98662
Phone (360) 253-6947

14201 NE 20th Ave
Ste C101
Vancouver, WA 98686
Phone (360) 571-9799

Interoperability endpoints

  • Direct secure messaging: vyacheslav.belous.1@21373.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1154636645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 VALLOMBROSA AVE",
            "address_2": "STE 99",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263900",
            "telephone_number": "530-891-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOUS",
        "first_name": "VYACHESLAV",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A11870",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.