INGMAR NIELS BASTIAN STUDENT
NPI 1073263992
Obstetrics & Gynecology in San Diego, CA

Q: What is Ingmar Bastian's NPI number?

The NPI number for Ingmar Bastian is 1073263992. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Ingmar Bastian's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ingmar Bastian was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2022PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ingmar Niels Bastian Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INGMAR NIELS BASTIAN STUDENT (NPI 1073263992) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (208879) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of University Of Wisconsin School Of Medicine (2022).

NPPES Registry Identity

NPI1073263992

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameINGMAR NIELS BASTIANCredential: STUDENT

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2022

Enumeration DateMarch 24, 2022

Last NPPES UpdateMay 5, 2026

NPPES CertifiedMay 5, 2026

✔ NPI 1073263992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · 208879✔ Licensed in WI · STUDENT

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 W ARBOR DR, San Diego, CA 92103

Open in Google Maps ↗

Secondary Practice Locations 6

Location 14910 Directors Pl Ste 200San Diego, CA 92121-3814 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 21 Baylor PlzHouston, TX 77030-3411 · Phone (832) 826-7354

Location 316950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 44168 Front StSan Diego, CA 92103-2030 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 59300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 6781 Garden View Ct Ste 200Encinitas, CA 92024-2481 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ingmar Niels Bastian Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719456771

PECOS Enrollment IDI20260519003318

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)