MR. GENNADY NOSOVITSKY PA-C
NPI 1780007708
Physician Assistant - Medical in Cathedral City, CA

Active since January 27, 2014PECOS Enrolled
68555 RAMON RD, SUITE D103 & D104, CATHEDRAL CITY, CA 92234(760) 507-3310 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2021, Jun 17, 2016 (2 updates tracked since 2016).

About Mr. Gennady Nosovitsky Pa-c NPPES

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

MR. GENNADY NOSOVITSKY PA-C (NPI 1780007708) is an individual medical provider in Cathedral City, California, licensed in California (PA23278) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780007708
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. GENNADY NOSOVITSKYCredential: PA-C
Location Address68555 RAMON RD, SUITE D103 & D104Cathedral City, CA 92234-3310
Mailing Address68555 Ramon Rd Ste D103Cathedral City, CA 92234-3310 · (760) 676-5800 · Fax (858) 634-6960
Sole ProprietorYes
Enumeration DateJanuary 27, 2014
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1780007708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA23278
68555 RAMON RD, Cathedral City, CA 92234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Gennady Nosovitsky Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
68555 RAMON RD
CATHEDRAL CITY, CA 92234
Internal Medicine
68555 RAMON RD, SUITE D103 & D104
CATHEDRAL CITY, CA 92234
Clinic/Center (Federally Qualified Health Center (FQHC))
68555 RAMON RD
CATHEDRAL CITY, CA 92234
Physician Assistant (Medical)
68555 RAMON RD
CATHEDRAL CITY, CA 92234
Psychologist (Clinical)
68555 RAMON RD, SUITE D103 & D104
CATHEDRAL CITY, CA 92234
Internal Medicine (Infectious Disease)
68555 RAMON RD
CATHEDRAL CITY, CA 92234
Physician Assistant
68555 RAMON RD
CATHEDRAL CITY, CA 92234

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 Gennady Nosovitsky's NPI number?

The NPI number for Gennady Nosovitsky is 1780007708. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Where is Gennady Nosovitsky located?

Gennady Nosovitsky practices at 68555 Ramon Rd Suite D103 & D104, Cathedral City, CA 92234. The listed phone number is (760) 507-3310.

What is Gennady Nosovitsky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gennady Nosovitsky enrolled in Medicare?

Yes. Gennady Nosovitsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gennady Nosovitsky was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.