Organization Active NPI

Norcal Neurostimulation

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1831888148
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORCAL NEUROSTIMULATION
Practice address
950 Glenn Dr Ste 235
Folsom, CA 95630
Phone
(916) 209-0533
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Ksenia Voronina, MDNPI 1447694542
Title
Co-Owner
Phone
(916) 209-0533

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

950 Glenn Dr Ste 235
Folsom, CA 95630

Mailing address

950 Glenn Dr Ste 235
Folsom, CA 95630-3193
Phone (916) 209-0533

Other practice location 1

7700 Folsom Blvd
Sacramento, CA 95826-2608
Phone (916) 386-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803001529 CA Part B Supplier - Clinic/Group Practice 9537520762 Receives reassigned benefits from 4 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1831888148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303193",
            "telephone_number": "916-209-0533",
            "fax_number": "916-209-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLENN DR STE 235",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-209-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Folsom Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262608",
            "country_code": "US",
            "telephone_number": "916-386-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORCAL NEUROSTIMULATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "VORONINA",
        "authorized_official_first_name": "KSENIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "916-209-0533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.