Individual provider Active NPI

Vladlen Pogorelov, FNP

  • Family Nurse Practitioner
  • Rocklin, CA
National Provider Identifier
1457526105
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
552384 Issued in CA
Practice address
4585 N Star St
None
Rocklin, CA 95677-1805
Phone
(415) 407-1286
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 552384 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP17441 CA

Addresses

Primary practice location

4585 N Star St
None
Rocklin, CA 95677-1805

Mailing address

4585 N Star St
None
Rocklin, CA 95677-1805
Phone (415) 407-1286

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000607 CA Practitioner - Nurse Practitioner 8729133673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2540 Carmichael Way
Carmichael, CA 95608-5314
Phone (916) 482-0465

Hospital & facility affiliations

  • Arias Home Health Home health agency, Roseville, CA, CCN 059634
  • Accentcare Home Health of California, Inc Home health agency, Sacramento, CA, CCN 557253
  • RX Staffing and Home Care Home health agency, Sacramento, CA, CCN 557690
  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Primary Care & Nursing, Inc CurrentSince Jun 26, 2011 Accepting new patients

Locations

2540 Carmichael Way
Carmichael, CA 95608
Phone (530) 756-1800

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1457526105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 N STAR ST",
            "address_2": "NONE",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956771805",
            "telephone_number": "415-407-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 N STAR ST",
            "address_2": "NONE",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956771805",
            "telephone_number": "415-407-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGORELOV",
        "first_name": "VLADLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "552384",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP17441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.