NPIMap

Individual provider Active NPI

Polina Volodarskaya, DO

  • Family Medicine Physician
  • Citrus Heights, CA
National Provider Identifier
1700851896
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13732 Issued in CA
Practice address
7777 Sunrise Blvd. #2500
Citrus Heights, CA 98610-2372
Phone
(916) 722-2227
Fax
(877) 860-5422
NPI assigned
Feb 22, 2006
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A13732 CA Primary
Internal Medicine Physician 207R00000X 13732 CA
Internal Medicine Physician 207R00000X 20A13732 CA

Addresses

Primary practice location

7777 Sunrise Blvd. #2500
Citrus Heights, CA 98610-2372

Mailing address

625 Fair Oaks Ave., #270
South Pasadena, CA 91030-5801
Phone (626) 346-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401000702 CA Practitioner - Internal MedicinePractitioner - Family Practice 0648293308 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Health Medical IncGroup PAC ID 4385130517, 10 clinicians

Practice addresses (Care Compare)

5346 Madison Ave
Suite D
Sacramento, CA 95841-3168
Phone (916) 947-0967

5350 Madison Ave
Sacramento, CA 95841-3169
Phone (916) 677-0008

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13732CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Volodarskaya Family Practice CurrentSince Nov 6, 2024 Accepting new patients
Good Health Medical Inc CurrentSince Dec 2, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Leonid Basovich, DO, PC Family Medicine PastSince Mar 9, 2007 Accepting new patients

Locations

5346 Madison Ave
Ste D
Sacramento, CA 95841
Phone (916) 947-0967

5346 Madison Ave
Ste De
Sacramento, CA 95841

5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008

Interoperability endpoints

  • Direct secure messaging: psawyer91562@direct.phhs.org
  • Direct secure messaging: pvolodarskaya285860@hisp.ehr.sutterhealth.org
  • Direct secure messaging: pvolodarskaya343313@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1700851896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE., #270",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305801",
            "telephone_number": "626-346-2455",
            "fax_number": "209-368-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SUNRISE BLVD. #2500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "986102372",
            "telephone_number": "916-722-2227",
            "fax_number": "877-860-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLODARSKAYA",
        "first_name": "POLINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13732",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "13732",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.