Active NPI
Oleg A. Vayner
- Pediatrics Physician
- Truckee, CA
National Provider Identifier
1689695876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C55496
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02585284 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C55496 | CA | MD | Pediatrics Physician |
| 232883-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- ovayner958397@directa.mercy.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Critical Access Hospital
- Truckee, CA
- NPI 1538265780
-
- Multi-Specialty Clinic/Center
- Truckee, CA
- NPI 1750412300
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
- Critical Access Hospital
- Incline Village, NV
- NPI 1801957667
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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.