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AMANDA BASTIEN MD
NPI 1619558269
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 15, 2021PECOS Enrolled
8635 W 3RD ST STE 590W, LOS ANGELES, CA 90048(310) 423-1220 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Bastien Md NPPES

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

AMANDA BASTIEN MD (NPI 1619558269) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619558269
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA BASTIENCredential: MD
Location Address8635 W 3RD ST STE 590WLos Angeles, CA 90048-6163
Mailing Address8635 W Third St #590wLos Angeles, CA 90048 · (310) 423-1220
Phone(310) 423-1220
Sole ProprietorNo
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1619558269 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.
8635 W 3RD ST STE 590W, Los Angeles, CA 90048
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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)

Amanda Bastien Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

NEELAYSH VUKKADALA M.D.
Otolaryngology
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
PEARL YEAWON LEE
Audiologist
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
RICHARD RODRIGUEZ SLP-CF
Speech-Language Pathologist
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
KATRIN ABELIAN PA
Physician Assistant
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
VESNA GRUBIC RN, MSN, ANP, MPH
Nurse Practitioner (Adult Health)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-2641
JON MALLEN-ST. CLAIR M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
JENIFER HYOJIN GOMEZ PA
Physician Assistant (Surgical)
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220
MS. CHRISTIE DELUCA MS
Speech-Language Pathologist
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048
Los Angeles County (310) 423-1220

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 Amanda Bastien's NPI number?

The NPI number for Amanda Bastien is 1619558269. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Amanda Bastien located?

Amanda Bastien practices at 8635 W 3rd St Ste 590W, Los Angeles, CA 90048. The listed phone number is (310) 423-1220.

What is Amanda Bastien's specialty?

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

Is Amanda Bastien enrolled in Medicare?

Yes. Amanda Bastien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Bastien was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.