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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Pastor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City & County Of San Francisco
50 mi
Primary Care
729 FILBERT ST
San Francisco, CA 94133
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1023579356 (415) 352-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
KATHLEEN MARIE BEARDSWORTH MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
BIANKA J AGUILAR MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8806
NAVPREET SIDHU
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
QUETZAL MORENO DO
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
GENEVRA MAGLIOCCO MD
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
YADIRA RAYA-CERVANTES MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
DR. LILY DEVRIES MORRISON MD, MPH
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Andrew Pastor located?

Andrew Pastor practices at 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 583-8800.

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.

Is Andrew Pastor enrolled in Medicare?

Yes. Andrew Pastor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Pastor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pastor reassigns Medicare benefits to City & County Of San Francisco (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Pastor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.