Nina T Vasiliev, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13353 Issued in CA

Practice address

1561 Creekside Drive
Suite 170
Folsom, CA 95630

Phone

(916) 983-5557

Fax

(916) 983-7878

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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 and National Provider Directory roles.

• Folsom Physicain Assistant First Assist, Inc

  • Surgical Physician Assistant
  • Plymouth, CA
  • NPI 1225532385
  NPD (past) Authorized official
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  NPD
• Radiological Associates of Sacramento Medical Group Inc

  • Diagnostic Radiology Physician
  • Roseville, CA
  • NPI 1487945754
  NPD (past)
• Radiological Associates of Sacramento Medical Group Inc.

  • Urology Physician
  • Sacramento, CA
  • NPI 1124267828
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972661874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "PHYSICIAN SUPPORT SERVICES",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2948",
            "fax_number": "916-858-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 CREEKSIDE DRIVE",
            "address_2": "SUITE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-983-5557",
            "fax_number": "916-983-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILIEV",
        "first_name": "NINA",
        "middle_name": "T",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13353",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13353",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "PA13353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Li-Shen Vang-Failla
• Susan Vang
• Anu Varghese, RN
• Syama S. Varudu, M.D.
• Vasanthi Krishna MD PC
• Nikka M Vaughan
• Vear Mobile Phlebotomy LLC
• Araceli Alicia Vega, LCSW
• Andrew Veirs, PHARM. D
• Kathryn Ventry, LMFT

• Physician Assistant in Folsom, CA
• Providers in Folsom, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.