Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitaliy Viktor Kostyukevich, PA-C

Individual provider Physician Assistant · NPI 1376881227

Vitaliy Viktor Kostyukevich, PA-C is a Physician Assistant in Sacramento, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4112 E Commerce Way
Sacramento, CA 95834-9680
Phone: (916) 396-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22576 (CA)

Record details

NPI number1376881227
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2013
Last updated in NPPESJanuary 3, 2022

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