IndividualActive
Maksim Mokrushin, R.T.(MR)(ARRT)
NPI 1124989017 · Magnetic Resonance Imaging Radiologic Technologist · Elk Grove, CA
Provider details
- NPI number
- 1124989017
- Entity type
- Individual
- Primary specialty
- Magnetic Resonance Imaging Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- R.T.(MR)(ARRT)
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1106772 (CA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5820 Villa Rosa Way
Elk Grove, CA 95758-6138
Phone: (916) 230-3437
Street-level locationGet directions
Mailing address
5820 Villa Rosa Way
Elk Grove, CA 95758-6138
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-25
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.