Pristine Surgical Incorporated
NPI 1336648500ActiveOrganization· Surgery· San Diego, CA
Surgery in San Diego, California, registered in NPPES in February 2018. The authorized official on file is Vadim Avulov, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336648500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2018 |
| Last updated in NPPES | Mar 10, 2020 |
| Certified by provider | Mar 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 20A13344 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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