Issachar Nistrian, CRST

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

60736793 Issued in WA

Practice address

3626 Factoria Blvd SE
Bellevue, WA 98006-6128

Phone

(310) 409-4277

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1679068852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 ELAINE AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 FACTORIA BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066128",
            "telephone_number": "310-409-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISTRIAN",
        "first_name": "ISSACHAR",
        "name_prefix": "Mr.",
        "credential": "CRST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "WA",
            "license": "60736793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "6073693",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nirenberg
• Norman Hitoshi Nishikawa, DDS
• Stanley Kazuo Nishimura, DDS
• Kentaro Nishino, M.D.
• Sayuri Nishizawa, LAC, EAMP
• Aidi Niu, DMD
• Marcola Joy Nixon, MBA, BS, AAC
• Eldina Nizamic, M.D.
• Veronica Wairimu Njuguna
• Noahna Wellness, PLLC

• Technician/Technologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Technician/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.