Vaseema Sultana Arastu, MD
Individual provider Active NPI Pediatrics Physician · La Mirada, CA
NPI 1104941616 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1104941616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A044428 (CA)
- Practice address
- 12675 La Mirada Blvd
Suite 200
La Mirada, CA 90638 - Phone
- (562) 941-9853
- Fax
- (562) 941-9683
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110621000296 | CA | Practitioner - Pediatric Medicine | 9638357783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A044428 | CA | MD | Pediatrics Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anwar & Vaseema Arastu, MD, Inc | Current | Accepting new patients | |
| Anwar and Vaseema Arastu M D Inc | Pediatrics | Current |
Accepting new patients |
| Healthylife MG Corp | Past | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 200
La Mirada, CA 90638
Phone (562) 941-9853
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A044428 | CA | Yes |
Addresses
Primary practice location
12675 La Mirada Blvd
Suite 200
La Mirada, CA 90638
Mailing address
12675 La Mirada Blvd
Suite 200
La Mirada, CA 90638
Phone (562) 941-9853
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152268 | Other | APP ID | |
| 00A444280 | Medicaid | CA |
Other names
- Vaseema Sultana Khan
Other providers in La Mirada, CA
- Romario R Angeles
- Angels on Duty
- Anwar & Vaseema Arastu, MD, Inc
- Anwar and Vaseema Arastu M D Inc
- Anwar Husain Arastu
- Aaron Todd Arel
- Quinn Arellano
- Stephanie Arevalo
- Victoria Veronica Ascencio
- At Home Adult Care
All providers in La Mirada, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.