Ielyzaveta Romanova Vanegas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A180067 Issued in CA

Practice address

209 C St
Lemoore, CA 93245-2930

Phone

(559) 924-7005

Fax

(559) 925-8500

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ielyzaveta.vanegas.p1@direct.ariachc.nextgenshare.com

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.

• Aria Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lemoore, CA
  • NPI 1932169240
  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1356801658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-538-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 C ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452930",
            "telephone_number": "559-924-7005",
            "fax_number": "559-925-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "IELYZAVETA",
        "middle_name": "ROMANOVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A180067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Arthur Valdez, PHARMD
• Israel Valentin Benigno
• Valley Family Health Center
• Valley Family Health Center Medical Group, Inc.
• Troy Andre Van Der Groen, DMD
• Justin Paul Vecere Sr., IDC
• Leslie Jean Veenendaal
• Kyle Anthony Veiga
• Margaret Ann Verheul, MPT
• Joshua Samuel Villegas, OD

• All providers in Lemoore, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.