Individual provider Active NPI

Oleg A. Vayner

  • Pediatrics Physician
  • Truckee, CA
National Provider Identifier
1689695876
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C55496 Issued in CA
Practice address
10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4861
Phone
(530) 587-3523
Fax
(530) 587-1004
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 232883-1 NY
Pediatrics Physician 208000000X C55496 CA Primary

Addresses

Primary practice location

10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4861

Mailing address

10681 Laburnham Cir
Truckee, CA 96161-1316
Phone (917) 974-9458

Other identifiers 1

IdentifierTypeStateIssuer
02585284MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55496CAMDPediatrics Physician
232883-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ovayner958397@directa.mercy.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1689695876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10681 LABURNHAM CIR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611316",
            "telephone_number": "917-974-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "STE 130",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-587-3523",
            "fax_number": "530-587-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNER",
        "first_name": "OLEG",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232883-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C55496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.