MR. YEVGENIY PUSTILNIKOV
NPI 1053561290
Nurse Practitioner - Gerontology in Los Angeles, CA

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
1335 N LA BREA AVE, APT#105, LOS ANGELES, CA 90028(323) 829-9261 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Yevgeniy Pustilnikov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YEVGENIY PUSTILNIKOV (NPI 1053561290) is an individual gerontology provider in Los Angeles, California, licensed in California (18429) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053561290
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. YEVGENIY PUSTILNIKOV
Location Address1335 N LA BREA AVE, APT#105Los Angeles, CA 90028-7526
Mailing Address1335 N La Brea Ave Apt 105Los Angeles, CA 90028-7565 · (323) 829-9261
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 24, 2008
NPI 1053561290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 18429
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 3055 (CA)
1335 N LA BREA AVE, Los Angeles, CA 90028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Yevgeniy Pustilnikov is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355497546
PECOS Enrollment IDI20090912000003
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
133 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
119 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services38 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services20 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
1335 N LA BREA AVE, STE 2109
LOS ANGELES, CA 90028
Physical Therapist
1335 N LA BREA AVE
LOS ANGELES, CA 90028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yevgeniy Pustilnikov's NPI number?

The NPI number for Yevgeniy Pustilnikov is 1053561290. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Yevgeniy Pustilnikov located?

Yevgeniy Pustilnikov practices at 1335 N La Brea Ave Apt#105, Los Angeles, CA 90028. The listed phone number is (323) 829-9261.

What is Yevgeniy Pustilnikov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Yevgeniy Pustilnikov enrolled in Medicare?

Yes. Yevgeniy Pustilnikov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yevgeniy Pustilnikov was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.