Blaire Elise Nasstrom, DO, MPH

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A22503 Issued in CA

Practice address

7695 Cardinal CT Ste 240
San Diego, CA 92123-3357

Phone

(858) 277-9378

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Coast OB/GYN, Inc.Group PAC ID 1850315235, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• West Coast OB/GYN, Inc.

  dba West Coast Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • San Diego, CA
  • NPI 1447216106
  Medicare reassignment Care Compare group
• Obstetrics & Gynecology Surgical Associates

  dba West Coast OB/GYN, Inc.

  • Obstetrics & Gynecology Physician
  • La Mesa, CA
  • NPI 1497839211
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sharp Memorial Hospital

  dba Sharp Allison deRose Rehabilitation Center

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1376166801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 HIJOS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241412",
            "telephone_number": "925-588-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-277-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSTROM",
        "first_name": "BLAIRE",
        "middle_name": "ELISE",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A22503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dario Nassif, PHARMD
• Felicia Elizabeth Nassif, RN
• Leela Metz Nassif, PA-C
• Mamanding Nasso
• Claudette Nassoor-Satnick, D.O.
• Nastassjavargaslicensedclinicalsocialworker.Inc
• Ashley Edwards Natad, BSN, RN
• Natalie Coates LMFT
• Jenna Litz Natalizio, CCC-SLP
• Natalya Carmichael DDS, Inc (DrNatalya Carmichael)

• Obstetrics & Gynecology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.