German Pustov, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95039550 Issued in CA

Practice address

2870 Kaiser Dr Apt 302
Santa Clara, CA 95051-7517

Phone

(646) 637-6521

NPI assigned

Feb 11, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1790637866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 KAISER DR APT 302",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517517",
            "telephone_number": "646-637-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 KAISER DR APT 302",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517517",
            "telephone_number": "646-637-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTOV",
        "first_name": "GERMAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039550",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95298784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W. Purdy, MD
• Shawn Matthew Purnell, M.D.
• Purple Star Health & Wellness
• Purpletree LLC
• Priscilla Purushothaman
• Thomas W S Puzin, DDS
• Nicolette Pyne, LMFT 134345
• Ayesha Amin Qazi, DDS
• Qi Dong Naturopathic Medical Group
• William Qin, DO, MS

• Psychiatric/Mental Health Nurse Practitioner in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.