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DR. MYRA SUSAN BASTIDAS M.D.
NPI 1760688394
Pediatrics in Los Angeles, CA

Active since June 21, 2007PECOS Enrolled
4700 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-5611 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Myra Susan Bastidas M.d. NPPES

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

DR. MYRA SUSAN BASTIDAS M.D. (NPI 1760688394) is an individual pediatrics provider in Los Angeles, California, licensed in California (A99110) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760688394
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MYRA SUSAN BASTIDASCredential: M.D.
Location Address4700 W SUNSET BLVDLos Angeles, CA 90027-6082
Mailing Address4434 Los Feliz Blvd Apt 106Los Angeles, CA 90027-2133 · (323) 906-9704
Phone(323) 783-5611
Sole ProprietorNo
Enumeration DateJune 21, 2007
Last NPPES UpdateDecember 6, 2021
✔ NPI 1760688394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A99110
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.
4700 W SUNSET BLVD, Los Angeles, CA 90027
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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)

Dr. Myra Susan Bastidas M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. SCOTT HIDEYUKI TAKAHASHI PHARMD
Pharmacist
4700 W SUNSET BLVD, DEPARTMENT OF PEDIATRICS
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1911
VALERIE CAPIZZO FREYRE
Social Worker (Clinical)
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-2600
DR. STEVEN T KIM DO
Pediatrics (Pediatric Gastroenterology)
4700 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4976
POLLIE WILLHITE CRNA
Nurse Anesthetist, Certified Registered
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5984
MS. CARLA DE OLIVEIRA R.D.
Dietitian, Registered
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-5683
JASON CHEN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (909) 596-6168
PAUL HAN M.D.
Pediatrics
4700 W SUNSET BLVD, KAISER FOUNDATION HOSPITAL, DEPARTMENT OF PEDIATRICS
LOS ANGELES, CA 90027
Los Angeles County (650) 504-3591
DR. BONNIE TAM M.D.
Pediatrics
4700 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000

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 Myra Bastidas's NPI number?

The NPI number for Myra Bastidas is 1760688394. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Myra Bastidas located?

Myra Bastidas practices at 4700 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-5611.

What is Myra Bastidas's specialty?

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

Is Myra Bastidas enrolled in Medicare?

Yes. Myra Bastidas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myra Bastidas was last updated on December 6, 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.