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

Individual provider Other Technician · NPI 1972182137

Maksim Pergamenshchikov, BA is an Other Technician in Novato, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

27 Salvatore Dr
Novato, CA 94949-6015
Phone: (415) 761-0436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1972182137
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Other providers in Novato