Igor J Nastaskin (NPI# 1619014776, PAC ID# 2668664285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1619014776 |
| PAC ID by PECOS | 2668664285 |
| Professional Enrollment ID | I20101014000114 |
| Full Name | Igor J Nastaskin |
| Organization Legal Name | SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. |
| Address |
931 Oat Park Blvd Suite 101 Pismo Beach CA 93449 |
| Phone Number | 8058252727 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 6709070964 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050506 | SIERRA VISTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 | 8058252727 | SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. |
| 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 | 8052879107 | SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. |
| Organization Legal Name | SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Bess | Certified Registered Nurse Anesthetist (crna) | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Robert Evans | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Eric W Jahnke | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Paramjit Singh Benipal | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Klaus Theodor Gottlieb | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Thomas P Hsia | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Atul Vachhani | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Ann C Cairns | Certified Registered Nurse Anesthetist (crna) | Santa Maria Gastroenterology Medical Group Inc. | 361 Town Ctr W, Suite 101, Santa Maria, CA 93458-5076 |
| Street Address |
931 OAT PARK BLVD SUITE 101 |
| City | PISMO BEACH |
| State | CA |
| Zip | 93449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Evans | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Maude | Physician Assistant | Timothy H Jones Md Inc | 302 Vista Del Mar Ave, Shell Beach, CA 93449-1833 |
| Andrew Peterson | Chiropractic | 1251 Shell Beach Rd, Pismo Beach, CA 93449-1953 | |
| Wendy E Weiss | Family Medicine | 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 | |
| Johnnie A Ham | Obstetrics/gynecology | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 | |
| Sarah A Cole | Nurse Practitioner | Coastal Prestige Medical Services, Inc | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 |
| Rand C Ritchie | Psychiatry | 354 Main St, Suite C, Pismo Beach, CA 93449-2581 | |
| Denise M Dritsas | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
| Ann Marie Donnelly | Psychologist, Clinical | 310 James Way, Suite 110, Pismo Beach, CA 93449-2877 | |
| Kristyn Collins | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
| Pierre G Labrecque | Dermatology | 340 James Way, Suite 140, Pismo Beach, CA 93449-2880 | |
| Find all physicians in zip 93449 | |||
| City | PISMO BEACH |
| Zip Code | 93449 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PISMO BEACH + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Igor J Nastaskin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.