Sergey Pustovoy

Primary specialty

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

License

GEN-06296 Issued in CA

Practice address

7433 Greenback LN Ste I
Citrus Heights, CA 95610-5696

Phone

(916) 470-8424

NPI assigned

Aug 7, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S7 LLC

  • Land Ambulance
  • Sacramento, CA
  • NPI 1538781331

  Non-Emergency Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1063769362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 THALIA WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215595",
            "telephone_number": "916-470-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 GREENBACK LN STE I",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956105696",
            "telephone_number": "916-470-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTOVOY",
        "first_name": "SERGEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "GEN-06296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alejandra Quinones
• Arlene Marie Quint
• Angelina Camilla Quintero
• Joanna Quiroz Gomez

• Non-emergency Medical Transport (VAN) in Citrus Heights, CA
• Providers in Citrus Heights, 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 Aug 11, 2014; 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.