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

Dr. Maksim Ilich Pukhalskiy, DPM

Individual provider Podiatrist · NPI 1518699230

Dr. Maksim Ilich Pukhalskiy, DPM is a Podiatry in Sacramento, California. Graduated from California School of Podiatric Medicine in 2022, 4 years ago. Practices with Jiva Health Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3870 Rosin Ct
Sacramento, CA 95834-1620
Phone: (916) 923-8490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E6149 (CA)

Record details

NPI number1518699230
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Jiva Health Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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