Gary Alan Pasternak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G55926 Issued in CA

Practice address

1670 South Amphlett Blvd.
Suite 300
San Mateo, CA 94403

Phone

(650) 554-1000

Fax

(650) 554-1018

NPI assigned

Sep 13, 2006

Last updated

Dec 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpasternak62576@hisp.ehr.sutterhealth.org

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.

• Mission Hospice & Home Care Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1831772359
  Medicare reassignment NPD
• Homecare Physicians Medical Group, Inc.

  • Internal Medicine Physician
  • San Mateo, CA
  • NPI 1578931903
  NPD
• Mission Hospice & Home Care, Inc.

  • Community Based Hospice Care Agency
  • San Mateo, CA
  • NPI 1396754115
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1194820688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16460 FERRIS AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-605-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SOUTH AMPHLETT BLVD.",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "650-554-1000",
            "fax_number": "650-554-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G559260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron U Parnell, ACST
• Alfonso Parocua, MD
• David Parodi
• Ivana Parra Gutierrez
• Iliana Parsons-Barillas, LCSW
• Adan Agapito Pastrana
• Harsh Harishbhai Patel
• Meg Rohit Patel
• Minal S Patel, RPH
• Nisha S Patel, MD

• Internal Medicine Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.