Michaelbastanidpm

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MICHAELBASTANIDPM

Practice address

22 Odyssey Ste 115
Irvine, CA 92618-3188

Phone

(424) 256-8956

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Michael Bastani, DPMNPI 1811379365

Title

Owner

Phone

(917) 675-1045

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Bastani, DPM

  • Foot & Ankle Surgery Podiatrist
  • Irvine, CA
  • NPI 1811379365

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1407496318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23785 EL TORO RD # 450",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183188",
            "telephone_number": "424-256-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELBASTANIDPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "BASTANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-675-1045",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Yoo, MD Inc
• Michael J. Marcus DPM a Professional Corporation
• Michael Lum, O.D., a Professional Corporation
• Michael S. Schneider M.D., a Professional Corporation
• Michael W Heaslet DPM Inc
• Michaelbastanidpm, Inc
• Amaury I Michel, MD
• Michelle Beaudoin Licensed Professional Clinical Counselor Apc
• Michelle Fallah PSYD Clinical Psychologist Inc
• Michelle Jo Park, MD, Inc.

• Foot & Ankle Surgery Podiatrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.