MAKSIM MOKRUSHIN R.T.(MR)(ARRT)
NPI 1124989017
Radiologic Technologist - Magnetic Resonance Imaging in Elk Grove, CA

Active since November 20, 2025
5820 VILLA ROSA WAY, ELK GROVE, CA 95758(916) 230-3437 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Nov 20, 2025 (2 updates tracked since 2025).

About Maksim Mokrushin R.t.(mr)(arrt) NPPES

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

MAKSIM MOKRUSHIN R.T.(MR)(ARRT) (NPI 1124989017) is an individual magnetic resonance imaging provider in Elk Grove, California, licensed in California (1106772) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1124989017
Entity TypeIndividualMale
Primary Taxonomy2471M1202X
Provider Legal NameMAKSIM MOKRUSHINCredential: R.T.(MR)(ARRT)
Location Address5820 VILLA ROSA WAYElk Grove, CA 95758-6138
Mailing Address5820 Villa Rosa WayElk Grove, CA 95758-6138 · (916) 230-3437
Sole ProprietorYes
Enumeration DateNovember 20, 2025
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1124989017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M1202X
License Licensed in CA · 1106772
Definition
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.
5820 VILLA ROSA WAY, Elk Grove, CA 95758

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 Maksim Mokrushin's NPI number?

The NPI number for Maksim Mokrushin is 1124989017. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Maksim Mokrushin located?

Maksim Mokrushin practices at 5820 Villa Rosa Way, Elk Grove, CA 95758. The listed phone number is (916) 230-3437.

What is Maksim Mokrushin's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

When was this NPI record last updated?

The NPPES record for Maksim Mokrushin was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.