Azar S Bastanfar, CERTIFIED NURSE PRAC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9526 Issued in CA

Practice address

9850 Genesee Ave
Suite 600
La Jolla, CA 92037-1207

Phone

(858) 453-0753

Fax

(760) 414-3713

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abastanfar18882@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Clinic Medical Group

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1124003280
  NPD (past)
• Scripps Clinic Medical Group, Inc

  • Radiation Oncology Physician
  • San Diego, CA
  • NPI 1073853180
  NPD (past)
• Scripps Clinic Medical Group, Inc

  • Internal Medicine Physician
  • La Jolla, CA
  • NPI 1538297726
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1265459184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE #54433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744433",
            "telephone_number": "858-784-5888",
            "fax_number": "760-414-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371207",
            "telephone_number": "858-453-0753",
            "fax_number": "760-414-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANFAR",
        "first_name": "AZAR",
        "middle_name": "S",
        "credential": "CERTIFIED NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "538431",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Vincent Barthel, M.D.
• Nevah Jan Bartram, M.S.W., L.C.S.W, M.S
• Scott Walter Barttelbort, M.D.
• Talia Basch, DO
• Timothy Edward Bassell, PHARM.D.
• Megan Bates, FNP
• Debra S Bateson
• Danielle Anne Bauer, NP
• Josef A Bauer, M.D.
• Mariah Ruth Baughn, MD

• Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.