Individual provider Active NPI

Alexander G Di Stante, M.D.

  • Surgery Physician
  • Salinas, CA
National Provider Identifier
1699711267
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A60555 Issued in CA
Practice address
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone
(831) 755-4111
Fax
(831) 755-4087
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A60555 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
Salinas, CA 93906-3100

Mailing address

PO Box 80007
Salinas, CA 93912-0007
Phone (831) 755-4111

Other identifiers 1

IdentifierTypeStateIssuer
HSP40248FMedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051028000548 CA Practitioner - General Surgery 6709847825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ponce School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60555CAMDGeneral Practice Dentistry
A60555CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey CurrentSince Mar 31, 2006 Accepting new patients
County of Monterey Behavioral Health CurrentSince Mar 31, 2006 Accepting new patients
County of Monterey Past Accepting new patients
University of California Irvine Past Accepting new patients
Santa Rosa Trauma Physicians Medical Group Surgery Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1699711267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80007",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939120007",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI STANTE",
        "first_name": "ALEXANDER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40248F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.