Organization Active NPI

Frank Nastanski MD a Professional Corporation

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1265689335
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68851 Issued in CA
Legal business name
FRANK NASTANSKI MD A PROFESSIONAL CORPORATION
Practice address
999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528
Phone
(714) 547-1915
Fax
(714) 547-6552
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Ms. Mary Zazuetta
Title
Insurance Billing Representative
Phone
(714) 547-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A68851 CA Primary

Addresses

Primary practice location

999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528

Mailing address

999 N Tustin Ave
Suite 116
Santa Ana, CA 92705-3528
Phone (714) 547-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000743 CA Part B Supplier - Clinic/Group Practice 0244266203 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 116
Santa Ana, CA 92705
Phone (714) 542-3969

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1265689335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-547-1915",
            "fax_number": "714-547-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-547-1915",
            "fax_number": "714-547-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK NASTANSKI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "ZAZUETTA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "INSURANCE BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "714-547-1915",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.