NPIMap

Individual provider Active NPI

Viktor Limanskiy, M.D.

  • Family Medicine Physician
  • Gridley, CA
National Provider Identifier
1275194201
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A178728 Issued in CA
Practice address
240 Spruce St
Gridley, CA 95948-2216
Phone
(530) 846-9000
NPI assigned
Jun 20, 2019
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A178728 CA Primary

Addresses

Primary practice location

240 Spruce St
Gridley, CA 95948-2216

Mailing address

PO Box 1484
Elk Grove, CA 95759-1484
Phone (916) 690-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230310001349 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7315310463 Reassigns benefits to 4 organizations
I20231005002220 MO Practitioner - Family Practice 7315310463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard HospitalGroup PAC ID 6800709049, shared by 4 NPIs, 16 clinicians
Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

240 Spruce St
Gridley, CA 95948-2216
Phone (530) 846-9000

284 Spruce St
Gridley, CA 95948-2216
Phone (530) 846-9080

525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 944-5550

601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178728CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince Sep 3, 2023 Accepting new patients
Team Physicians of California Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Bothwell Regional Health Center Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
American Specialty Physicians Group Inc CurrentSince Feb 2, 2024 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Woodland Emergency Physicians Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7410

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1275194201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957591484",
            "telephone_number": "916-690-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMANSKIY",
        "first_name": "VIKTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A178728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.