SAMUEL JACOB BASTACKY MD - NPI 1346392156 - Pediatrics in San Francisco, CA

Q: What is Samuel Bastacky's NPI number?

The NPI number for Samuel Bastacky is 1346392156. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Samuel Bastacky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Bastacky was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

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About Samuel Jacob Bastacky Md NPPES

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

SAMUEL JACOB BASTACKY MD (NPI 1346392156) is an individual pediatrics provider in San Francisco, California, licensed in California (G31957) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1346392156

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSAMUEL JACOB BASTACKYCredential: MD

Location Address2200 OFARRELL STSan Francisco, CA 94115-3357

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(415) 833-2000

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateSeptember 22, 2011

✔ NPI 1346392156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G31957

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2200 OFARRELL ST, San Francisco, CA 94115

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Other Identifiers 3

Medicare ID-Type Unspecified00G319570

Medicare UPINF12769

Medicaid00G319570CA

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.

APARNA KOTA MD, MPH

Pediatrics