Active NPI
Valery D. Tarasenko, MD, Inc.
Doing business as Advanced Pain Management Institute
- Interventional Pain Medicine Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- VALERY D. TARASENKO, MD, INC.
- Doing business as
- Advanced Pain Management Institute
- Practice address
- 200 Butcher Rd
Vacaville, CA 95687-5616 - Phone
- (707) 359-2255
- Fax
- (707) 359-2259
- NPI assigned
- Oct 5, 2007
- Last updated
- Oct 18, 2024
- Organization subpart
- Yes
- Parent organization
- ADVANCED PAIN MANAGEMENT INSTITUTE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valery D Tarasenko, MD
- Title
- MD
- Phone
- (707) 359-2255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
200 Butcher Rd
Vacaville, CA 95687-5616
Mailing address
200 Butcher Rd
Vacaville, CA 95687-5616
Phone (707) 359-2255
Other practice location 1
5255 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone (916) 334-1100
Other names 1
- Advanced Pain Management Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Advance pain management institute
- Interventional Pain Medicine Physician
- Sacramento, CA
- NPI 1649893009
4880667864
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1083858 | Advanced Pain Management Institute | Certificate of waiver | May 11, 2028 |
National Provider Directory
National Provider Directory- Part of
- Valery D Tarasenko MD Inc
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Vacaville, CA
- NPI 1912981713
Single Specialty
-
- Pain Medicine (Anesthesiology) Physician
- Sacramento, CA
- NPI 1093908832
-
- Pain Medicine (Anesthesiology) Physician
- Chico, CA
- NPI 1578596557
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lawrenceville, GA
- NPI 1386818607
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1740478502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUTCHER RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875616",
"telephone_number": "707-359-2255",
"fax_number": "707-359-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUTCHER RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875616",
"telephone_number": "707-359-2255",
"fax_number": "707-359-2259"
}
],
"practiceLocations": [
{
"address_1": "5255 Elkhorn Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958422506",
"country_code": "US",
"telephone_number": "916-334-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VALERY D. TARASENKO, MD, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED PAIN MANAGEMENT INSTITUTE",
"enumeration_date": "2007-10-05",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "TARASENKO",
"authorized_official_first_name": "VALERY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "707-359-2255",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Pain Management Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Pain Management Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.