Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Denisov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639972151

David Denisov is a Diagnostic Radiology in Sacramento, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1625 Stockton Blvd Ste 207
Sacramento, CA 95816-7092
Phone: (916) 878-3945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Plaza Dr, Roseville, CA 95661-3037 — (916) 292-0294

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 18565 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639972151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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