Organization Active NPI

Nasta Medical Corporation

  • Pediatrics Physician
  • Redwood City, CA
National Provider Identifier
1487096145
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A91065 Issued in CA
Legal business name
NASTA MEDICAL CORPORATION
Practice address
401 Warren St
Suite 302
Redwood City, CA 94063-1578
Phone
(650) 701-1882
Fax
(650) 701-1886
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Aarti M Nasta, M.D.
Title
President
Phone
(650) 701-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A91065 CA Primary

Addresses

Primary practice location

401 Warren St
Suite 302
Redwood City, CA 94063-1578

Mailing address

415 Tesconi Cir
Santa Rosa, CA 95401-4619
Phone (707) 578-1175

National Provider Directory

National Provider Directory

Locations

415 Tesconi Cir
Santa Rosa, CA 95401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1487096145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TESCONI CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014619",
            "telephone_number": "707-578-1175",
            "fax_number": "707-578-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WARREN ST",
            "address_2": "SUITE 302",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631578",
            "telephone_number": "650-701-1882",
            "fax_number": "650-701-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASTA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "NASTA",
        "authorized_official_first_name": "AARTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-701-1882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A91065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.