Valery D Tarasenko, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A72444 Issued in CA

Practice address

200 Butcher Rd
Vacaville, CA 95687-5616

Phone

(707) 359-2255

Fax

(707) 359-2259

NPI assigned

Dec 5, 2005

Last updated

Oct 18, 2024By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain Management

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.68 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Valery D. Tarasenko, MD, Inc.

  dba Advanced Pain Management Institute

  • Interventional Pain Medicine Physician
  • Vacaville, CA
  • NPI 1740478502

  Single Specialty

  Medicare reassignment NPD Authorized official
• Alamo Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vacaville, CA
  • NPI 1265765861
  Authorized official Same address or phone
• Valery D. Tarasenko, MD, Inc.

  dba Advance pain management institute

  • Interventional Pain Medicine Physician
  • Sacramento, CA
  • NPI 1649893009

  Single Specialty

  NPD
• Anesthesia Consultants of Sacramento a Medical Group, Inc.

  • Anesthesiology Physician
  • Sacramento, CA
  • NPI 1871507293

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1912981713",
    "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",
            "fax_number": "916-334-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARASENKO",
        "first_name": "VALERY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A72444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A724440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard M Tan, M.D.
• Tara Renee Tanaka, PH.D.
• Thuong Tang, MSW
• Tanika Ross
• Charmaine Tanjuakio
• Kaitrin Tat
• James Tatti, OTR/L
• Taylor Professional Chiropractic Corporation (Taylor Chiropractic)
• Dawn Adele Taylor, NP
• Jeanna Marie Taylor

• Interventional Pain Medicine Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Interventional Pain Medicine Physician in California

• 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; Order and Referring.
• 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.

Verify at the official NPI Registry.