Organization Active NPI

Ptashinsky Medical

Doing business as Strawberry Creek Medical

  • Clinic/Center
  • Idyllwild, CA
National Provider Identifier
1891424644
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PTASHINSKY MEDICAL
Doing business as
Strawberry Creek Medical
Practice address
54910 N Circle Drive
Idyllwild, CA 92549
Phone
(917) 225-6302
NPI assigned
Jun 7, 2022
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Natalya Ptashinsky, A/GNPNPI 1336517457
Title
Authorized Official
Phone
(917) 225-6302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

54910 N Circle Drive
Idyllwild, CA 92549

Mailing address

PO Box 786
Idyllwild, CA 92549-0786
Phone (917) 225-6302

Other names 2

  • Strawberry Creek Medical Doing business as
  • Barke Ptashinsky Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307001235 CA Part B Supplier - Clinic/Group Practice 0042656514 Receives reassigned benefits from 2 practitioners
Practice locations: Idyllwild, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306713Ptashinsky Medical54910 N Circle Dr, Idyllwild, CA 92549Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1891424644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925490786",
            "telephone_number": "917-225-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54910 N CIRCLE DRIVE",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "917-225-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTASHINSKY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "PTASHINSKY",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-225-6302",
        "authorized_official_credential": "A/GNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strawberry Creek Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barke Ptashinsky",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Idyllwild, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.