Individual provider · Type 1 NPI
German Pustov, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Santa Clara, CA
NPI number
1790637866
Active
Practice location
2870 Kaiser Dr Apt 302
Santa Clara, CA 95051-7517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95039550 (CA) |
| Registered Nurse | 163W00000X | 95298784 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790637866
German Pustov, PMHNP's National Provider Identifier is 1790637866, issued on Feb 11, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Clara, CA. The record was last updated on May 15, 2026.