Active NPI
Stefan Kasian
- Naturopath
- San Diego, CA
National Provider Identifier
1023479110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 769
- Practice address
- 4110 Sorrento Valley Blvd
San Diego, CA 92121-1429 - Phone
- (858) 246-9698
- NPI assigned
- Mar 16, 2016
- Last updated
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 769 | CA | Primary |
| Naturopath | 175F00000X | 15-1515 | AZ |
Addresses
Primary practice location
4110 Sorrento Valley Blvd
San Diego, CA 92121-1429
Mailing address
4106 Sorrento Valley Blvd
San Diego, CA 92121-1407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-1515 | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bastyr University | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1023479110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 SORRENTO VALLEY BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 SORRENTO VALLEY BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211429",
"telephone_number": "858-246-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASIAN",
"first_name": "STEFAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "769",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "15-1515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.