Active NPI
Helen Leo Vinogradova, M.D.
- Family Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A84638
- Practice address
- 7215 55TH Street
Sacramento, CA 95823-2601 - Phone
- (916) 399-1100
- Fax
- (877) 860-2397
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A84638 | CA | Primary |
Addresses
Primary practice location
7215 55TH Street
Sacramento, CA 95823-2601
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01783727-DV5277 | Other | CA | RAILROAD MEDICARE |
Other names 1
- Korotkova Elena Leonidovna
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 Wright St
Suite 1
Sacramento, CA 95825-4041
Phone (916) 454-2345
4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345
Hospital & facility affiliations
- Your Choice Home Health, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84638 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elica Health Centers | Family Medicine | Current | Accepting new patients |
| Elica Health Centers | Current | Accepting new patients | |
| Elica Health Centers | Current | Accepting new patients | |
| Regents of the University of Ca | Past | Accepting new patients |
Locations
4815 Watt Ave
North Highlands, CA 95660
3234 Marysville Blvd
Sacramento, CA 95815
Phone (916) 646-1200
1860 Howe Ave
Ste 440
Sacramento, CA 95825
1750 Wright St
Ste 1
Sacramento, CA 95825
6339 Mack Rd
Sacramento, CA 95823
Phone (916) 585-7912
1276 Halyard Dr
West Sacramento, CA 95691
155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981
Interoperability endpoints
- hvinogradova343310@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1548425853
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1346784295
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1760293351
-
- Multi-Specialty Clinic/Center
- Colusa, CA
- NPI 1245210889
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rancho Cordova, CA
- NPI 1255710489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1972695252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-499-6191",
"fax_number": "877-860-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 55TH STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232601",
"telephone_number": "916-399-1100",
"fax_number": "877-860-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINOGRADOVA",
"first_name": "HELEN",
"middle_name": "LEO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A84638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01783727-DV5277",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KOROTKOVA",
"last_name": "LEONIDOVNA",
"middle_name": "ELENA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.