| John Nastasi, | |
|
100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | |
| (714) 778-1032 | |
| Not Available |
| Full Name | John Nastasi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 100 W Valencia Mesa Dr # 211, Fullerton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487117594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 56355 (California) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 56355 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - South Bay | Harbor city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| John Nastasi, 1211 W La Palma Ave Ste 505, Anaheim, CA 92801-2812 Ph: Not Available | John Nastasi, 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 Ph: (714) 778-1032 |
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