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

Mr. Yevgeniy Pustilnikov

Individual provider Gerontology Nurse Practitioner · NPI 1053561290

Mr. Yevgeniy Pustilnikov is a Nurse Practitioner in Los Angeles, California. Qualified in 2008, 18 years ago. Practices with County of Los Angeles, a 390-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1335 N La Brea Ave APT#105
Los Angeles, CA 90028-7526
Phone: (323) 829-9261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 18429 (CA)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 3055 (CA)

Record details

NPI number1053561290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2008
Last updated in NPPESSeptember 24, 2008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice County Of Los Angeles — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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