Active NPI
John F Pastor, MD
- Child & Adolescent Psychiatry Physician
- Bellevue, WA
National Provider Identifier
1699849703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD00038899
- Practice address
- 1300 114TH Ave SE
Suite 115
Bellevue, WA 98004-6942 - Phone
- (425) 462-9511
- Fax
- (426) 462-8894
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00038899 | WA | Primary |
Addresses
Primary practice location
1300 114TH Ave SE
Suite 115
Bellevue, WA 98004-6942
Mailing address
1300 114TH Ave SE
Suite 115
Bellevue, WA 98004-6942
Phone (425) 462-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2013 through Mar 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00038899 | WA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1699849703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "SUITE 115",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046942",
"telephone_number": "425-462-9511",
"fax_number": "426-462-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 114TH AVE SE",
"address_2": "SUITE 115",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046942",
"telephone_number": "425-462-9511",
"fax_number": "426-462-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTOR",
"first_name": "JOHN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00038899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.