Male Fertility & Sexual Medicine Specialists

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G76872 Issued in CA

Legal business name

MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS

Practice address

6699 Alvarado Rd Ste 2207
San Diego, CA 92120-5240

Phone

(619) 286-3520

Fax

(619) 265-1429

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin David Bastuba, MDNPI 1790769016

Title

Owner

Phone

(619) 286-3520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Martin David Bastuba, M.D.

  • Urology Physician
  • San Diego, CA
  • NPI 1790769016
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1801996939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205240",
            "telephone_number": "619-286-3520",
            "fax_number": "619-265-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD STE 2207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205240",
            "telephone_number": "619-286-3520",
            "fax_number": "619-265-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "BASTUBA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-286-3520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G76872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Hope Maldonado
• Mariza Maldonado
• Reeya Maldonado
• Valerie Alaina Maldonado, DSP II
• Yanely Maldonado
• Nathalie-Rose Oceane Malecot
• Elmar Malek, MD
• Kristina Malek, PH.D.
• Parisa Malekzadeh, LPCC
• Giselle Malfavon

• Urology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.