Vasily Vakulchik

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

7NXK276 Issued in CA

Practice address

10737 Robola Way
Rancho Cordova, CA 95670-6941

Phone

(916) 247-4484

NPI assigned

Mar 26, 2015

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1841684925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 ROBOLA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706941",
            "telephone_number": "916-247-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 ROBOLA WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706941",
            "telephone_number": "916-247-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKULCHIK",
        "first_name": "VASILY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "7ASZ860",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "CA",
            "license": "B9221791",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "7NXK276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.