VANESSA BASTIDAS MD, MPH
NPI 1831893478
Family Medicine in San Ysidro, CA

Q: What is Vanessa Bastidas's NPI number?

The NPI number for Vanessa Bastidas is 1831893478. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Vanessa Bastidas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Bastidas was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 28, 2023PECOS EnrolledAccepts Medicare Assignment

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100(619) 205-6314 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Mar 28, 2023 (2 updates tracked since 2023).

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About Vanessa Bastidas Md, Mph NPPES

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

VANESSA BASTIDAS MD, MPH (NPI 1831893478) is an individual family medicine provider in San Ysidro, California, licensed in California (A200390) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chula Vista, and is a graduate of University Of Arkansas College Of Medicine (2023).

NPPES Registry Identity

NPI1831893478

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVANESSA BASTIDASCredential: MD, MPH

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address435 H Street Cv112Chula Vista, CA 91910

Phone(619) 662-4100

Fax(619) 205-6314

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2023

Enumeration DateMarch 28, 2023

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1831893478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A200390

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4004 BEYER BLVD, San Ysidro, CA 92173

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Secondary Practice Location 1

Location 1435 H StChula Vista, CA 91910-4307 · Phone (619) 691-7587

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vanessa Bastidas Md, Mph 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 ID9638633589

PECOS Enrollment IDI20260710003677

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 Vanessa Bastidas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

4004 BEYER BLVD
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1164641965 (619) 662-4100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)