Individual provider Active NPI

Ksenia Voronina, M.D.

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1447694542
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A155150 Issued in CA
Practice address
950 Glenn Dr Ste 235
Folsom, CA 95630-3193
Phone
(916) 209-0533
Fax
(916) 209-4056
NPI assigned
Apr 19, 2013
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A155150 CA Primary

Addresses

Primary practice location

950 Glenn Dr Ste 235
Folsom, CA 95630-3193

Mailing address

950 Glenn Dr Ste 235
Folsom, CA 95630-3193
Phone (916) 209-0533

Other practice location 1

7700 Folsom Blvd
Sacramento, CA 95826-2608
Phone (916) 386-3645

Other practice location 2

50 Iron Point Circle
St 140
Folsom, CA 95630-9335
Phone (916) 209-0533

Other names 1

  • Ksenia Sniegowski Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180612003295 CA Practitioner - Psychiatry 5092060251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Colorado School of Medicine, Denver, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norcal NeurostimulationGroup PAC ID 9537520762, 4 clinicians

Practice addresses (Care Compare)

50 Iron Point Cir
Suite 140
Folsom, CA 95630-8594
Phone (916) 209-0533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155150CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Neurostimulation Psychiatry CurrentSince Jul 18, 2023 Accepting new patients

Locations

50 Iron Point Cir
Ste 140
Folsom, CA 95630
Phone (916) 209-0533

950 Glenn Dr
Ste 235
Folsom, CA 95630
Phone (916) 209-0533

7700 Folsom Blvd
Sacramento, CA 95826
Phone (916) 386-3000

Interoperability endpoints

  • Direct secure messaging: kvoronina425889@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1447694542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Folsom Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262608",
            "country_code": "US",
            "telephone_number": "916-386-3645",
            "fax_number": "916-386-3613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Iron Point Circle",
            "address_2": "St 140",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956309335",
            "country_code": "US",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORONINA",
        "first_name": "KSENIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A155150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KSENIA",
            "last_name": "SNIEGOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.