Vladimir Rafanov, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A56344 Issued in CA

Practice address

804 Harbor Blvd
West Sacramento, CA 95691-2202

Phone

(916) 371-1616

Fax

(916) 979-1110

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Neurology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arnold Greenberg MD Inc 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arnold Greenberg MD Inc

  • Neurology Physician
  • Carmichael, CA
  • NPI 1700977188

  CA, Neurology

  Medicare reassignment Care Compare group NPD
• Boris Zhalkovsky Medical Corporation

  • Psychiatry Physician
  • San Carlos, CA
  • NPI 1710049655
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1477537413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912202",
            "telephone_number": "916-371-1616",
            "fax_number": "916-979-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912202",
            "telephone_number": "916-371-1616",
            "fax_number": "916-979-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFANOV",
        "first_name": "VLADIMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A56344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A563440",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A563441",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Pruitt, RN
• Alina Puliz
• Jessica Putnam
• Kasha Rabon-Green, MFT
• Harini Racherla
• Raleys
• Raleys
• Jose Manuel Ramirez Garcia
• Alondra Ramirez
• Amy Marie Ramirez, PA-C

• All providers in West Sacramento, CA
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.