Pavel Pustovoy, CEO

Primary specialty

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

License

Y4856046 Issued in CA

Practice address

5753 Auburn Blvd Ste 23
Sacramento, CA 95841-2953

Phone

(916) 790-0993

NPI assigned

May 11, 2023

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

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1891485900",
    "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": "916-790-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5753 AUBURN BLVD STE 23",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412953",
            "telephone_number": "916-790-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTOVOY",
        "first_name": "PAVEL",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "Y4856046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parul Puri, FNP-BC, DNP
• Lauren Ashleigh Purinton
• Ramon Purnell, CAS
• Rose Purser
• Pushpushbaby, LLC
• Sophy Puth
• Christina Putnam, PHARMD
• Nina Putnam, MD
• Harivarsha Puttam, MBBS
• Samantha T Pyara

• Non-emergency Medical Transport (VAN) in Sacramento, CA
• Providers in Sacramento, 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 May 11, 2023; 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.