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JOHN NASTASI
NPI 1487117594
Physician Assistant - Surgical in Fullerton, CA

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
100 W VALENCIA MESA DR # 211, FULLERTON, CA 92835(714) 778-1032 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2021, Apr 8, 2019 (2 updates tracked since 2019).

About John Nastasi NPPES

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

JOHN NASTASI (NPI 1487117594) is an individual surgical provider in Fullerton, California, licensed in California (56355) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487117594
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHN NASTASI
Location Address100 W VALENCIA MESA DR # 211Fullerton, CA 92835-3768
Mailing Address1211 W La Palma Ave Ste 505Anaheim, CA 92801-2812
Phone(714) 778-1032
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1487117594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 56355
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 56355 (CA)
100 W VALENCIA MESA DR # 211, Fullerton, CA 92835
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Nastasi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951635366
PECOS Enrollment IDI20190618003254
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.

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 John Nastasi's NPI number?

The NPI number for John Nastasi is 1487117594. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is John Nastasi located?

John Nastasi practices at 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835. The listed phone number is (714) 778-1032.

What is John Nastasi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Nastasi enrolled in Medicare?

Yes. John Nastasi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Nastasi was last updated on December 1, 2021. 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.