Active NPI
Connor Bastidas
- Physician Assistant
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1501 Lakeside Dr
Lynchburg, VA 24501-3113 - Phone
- (343) 544-8100
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1501 Lakeside Dr
Lynchburg, VA 24501-3113
Mailing address
1501 Lakeside Dr
Lynchburg, VA 24501-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106001772 | VA | Practitioner - Physician Assistant | 7517457708 | Reassigns benefits to 1 organization |
| I20251114000561 | DC | Practitioner - Physician Assistant | 7517457708 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14904 Richmond Hwy
Suite 406
Woodbridge, VA 22191-3908
Phone (571) 581-1771
15195 Heathcote Blvd
Suite 310
Haymarket, VA 20169-6244
Phone (571) 581-1771
415 Church St NE
Suite 101
Vienna, VA 22180-4748
Phone (877) 415-4116
559 Frost Ave
Suite 102
Warrenton, VA 20186-3088
Phone (571) 581-1771
8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611
Hospital & facility affiliations
- Uva Health Haymarket Medical Center
- Uva Health Prince William Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carient Heart & Vascular, LLC | Current | Accepting new patients |
Locations
8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771
1850 Town Center Pkwy
Ste 566
Reston, VA 20190
415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454
Interoperability endpoints
- cbastidas686560@direct.healthsystem.virginia.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- connor.bastidas.p1@direct.chv.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 2
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": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1932097557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 LAKESIDE DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245013113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LAKESIDE DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245013113",
"telephone_number": "343-544-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTIDAS",
"first_name": "CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
- 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.