NPIMap

Organization Active NPI

Oscar F Sugastti, MD, LLC

  • Primary Care Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1942514435
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101239590 Issued in VA
Legal business name
OSCAR F SUGASTTI, MD, LLC
Practice address
2200 Opitz Blvd Ste 355
Woodbridge, VA 22191-3340
Phone
(703) 580-6400
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Dr. Oscar Fernando Sugastti, M.D.NPI 1255330759
Title
Owner
Phone
(703) 635-0314

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101239590 VA Primary

Addresses

Primary practice location

2200 Opitz Blvd Ste 355
Woodbridge, VA 22191-3340

Mailing address

2200 Opitz Blvd Ste 355
Woodbridge, VA 22191-3340
Phone (703) 580-6400

Other practice location 1

14009 Minnieville Rd
Woodbridge, VA 20193
Phone (703) 635-0314

Other identifiers 1

IdentifierTypeStateIssuer
010277311MedicaidVA

Other names 1

  • AAA Pediatrics Doing business as

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
21D2011623Oscar F Sugastti, MD LLC2200 Opitz Boulevard, Suite 355-375, Woodbridge, VA 22191Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

2200 Opitz Blvd
Ste 355
Woodbridge, VA 22191
Phone (703) 468-8815

14009 Minnieville Rd
Woodbridge, VA 22193
Phone (703) 580-6400

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1942514435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 355",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913340",
            "telephone_number": "703-580-6400",
            "fax_number": "703-580-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD STE 355",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913340",
            "telephone_number": "703-580-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14009 Minnieville Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "20193",
            "country_code": "US",
            "telephone_number": "703-635-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSCAR F SUGASTTI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SUGASTTI",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-635-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101239590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010277311",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.