Kelly A. Bastoni in Santa Rosa - Internal Medicine
Kelly A. Bastoni - NPI 1891869400
Kelly A. Bastoni is a Internal Medicine in Santa Rosa, California. Kelly A. Bastoni practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly A. Bastoni is 1891869400. The last update date is 2021-12-22.
Kelly A. Bastoni's current location address is 401 Bicentennial Way, Santa Rosa, California. You can contact this provider via phone number 7075714000. The mailing address for Kelly A. Bastoni is 401 Bicentennial Way, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A. Bastoni |
|---|---|
| Address | 401 Bicentennial Way, Santa Rosa, California |
| Phone Number | 7075714000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891869400 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 401 Bicentennial Way |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954032149 |
| Phone Number | 7075714000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A82473 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A824730 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly A. Bastoni by the Centers for Medicare & Medicaid Services?
The Kelly A. Bastoni has been assigned the NPI (National Provider Identifier) 1891869400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kelly A. Bastoni is physically located?
The Kelly A. Bastoni is physically situated at the following address: 401 Bicentennial Way, Santa Rosa, CA, 954032149.
What is Kelly A. Bastoni's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly A. Bastoni is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
When did Kelly A. Bastoni receive its 1891869400 assignment?
The Kelly A. Bastoni was assigned its 1891869400 on 2006-11-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kelly A. Bastoni most recently updated or revised?
The details related to Kelly A. Bastoni, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-22.