Individual provider Active NPI

Helen Leo Vinogradova, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1972695252
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A84638 Issued in CA
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

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01783727-DV5277OtherCARAILROAD MEDICARE

Other names 1

  • Korotkova Elena Leonidovna Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121001033 CA Practitioner - Family Practice 1456370279 Reassigns benefits to 1 organization

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
Elica Health CentersGroup PAC ID 4385706845, 23 clinicians

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 Home health agency, Rancho Cordova, CA, CCN 053168

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84638CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers Family Medicine CurrentSince Jul 24, 2018 Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Jul 24, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.