ANDREW PASTOR
NPI 1386394047
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Andrew Pastor's NPI number?

The NPI number for Andrew Pastor is 1386394047. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Andrew Pastor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pastor was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2022PECOS Enrolled

3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrew Pastor NPPES

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

ANDREW PASTOR (NPI 1386394047) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2022).

NPPES Registry Identity

NPI1386394047

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW PASTOR

Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5784

Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · (707) 583-8800

Phone(707) 583-8800

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2022

Enumeration DateMarch 25, 2022

NPPES CertifiedMarch 25, 2022

✔ NPI 1386394047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Pastor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294264297

PECOS Enrollment IDI20260320001818

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.

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. KENDALL MADDEN M.D.

Student in an Organized Health Care Education/Training Program