Individual provider · Type 1 NPI

Jason Petusevsky, DO

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1457987133 Active

Practice location

4860 Y St
Sacramento, CA 95817-2307

Call (954) 591-5873 Map

Mailing address

5300 F St
Sacramento, CA 95819-3203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457987133

Jason Petusevsky, DO's National Provider Identifier is 1457987133, issued on Mar 13, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 23, 2026.