MR. GENNADY NOSOVITSKY PA-C NPI 1780007708

NPI Information

NPI: 1780007708
Provider Name: MR. GENNADY NOSOVITSKY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: BORREGO COMMUNITY HEALTH FOUNDATION

PECOS Registration: Yes

Address:
68555 RAMON RD
SUITE D103 & D104
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 507-3310
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MR. Gennady Nosovitsky, PA-C is a medical physician assistant in Cathedral City, CA with 11 years of experience. MR. Gennady Nosovitsky, PA-C NPI is 1780007708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

68555 RAMON RD
SUITE D103 & D104
CATHEDRAL CITY, CA
ZIP 92234-310
Phone: (760) 507-3310

The NPI 1780007708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 4/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA23278	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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