Individual provider Active NPI

Viktoria Futritski, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1285277624
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP95011425 Issued in CA
Practice address
302 Silver Ave
San Francisco, CA 94112-1510
Phone
(415) 334-2500
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP95011425 CA Primary

Addresses

Primary practice location

302 Silver Ave
San Francisco, CA 94112-1510

Mailing address

380 La Strada Dr Apt 24
San Jose, CA 95123-1052
Phone (408) 464-1493

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213001924 CA Practitioner - Nurse Practitioner 8426483272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians

Practice addresses (Care Compare)

2530 Solace PL
Mountain View, CA 94040-4309
Phone (408) 401-2581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011425CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Medical Inc CurrentSince Jun 1, 2023 Accepting new patients
Solomon Medical Inc Current Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 1, 2024 Accepting new patients
Solomon Physicians Group PC CurrentSince Mar 2, 2026 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

1120 Forest Ave
Pacific Grove, CA 93950
Phone (831) 200-9651

637 E Romie Ln
Salinas, CA 93901
Phone (831) 424-0687

720 E Romie Ln
Salinas, CA 93901
Phone (831) 424-8072

1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1285277624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LA STRADA DR APT 24",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231052",
            "telephone_number": "408-464-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121510",
            "telephone_number": "415-334-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRITSKI",
        "first_name": "VIKTORIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95011425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.