Samuel Jacob Bastacky in Oakland - Pediatrics

Samuel Jacob Bastacky - NPI 1346392156

Samuel Jacob Bastacky is a Pediatrics in Oakland, California. Samuel Jacob Bastacky practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Samuel Jacob Bastacky is 1346392156. The last update date is 2011-09-22.

Samuel Jacob Bastacky's current location address is 1800 Harrison St Fl 7, Oakland, California. You can contact this provider via phone number 5106256262. The mailing address for Samuel Jacob Bastacky is 1800 Harrison St Fl 7, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Jacob Bastacky
Address 1800 Harrison St Fl 7, Oakland, California
Phone Number 5106256262
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346392156
Provider Enumeration Date 2007-01-18
Last Updated Date 2011-09-22

Provider Mailing Address Detail

Address 1800 Harrison St Fl 7
City Oakland
State California (CA)
Post Code 946123429
Phone Number 5106256262
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G31957
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G319570 CA --

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FAQs about Samuel Jacob Bastacky

What is the unique 10-digit identification code issued to Samuel Jacob Bastacky by the Centers for Medicare & Medicaid Services?

The Samuel Jacob Bastacky has been assigned the NPI (National Provider Identifier) 1346392156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Samuel Jacob Bastacky is located?

The Samuel Jacob Bastacky is situated at the following address: 1800 Harrison St Fl 7, Oakland, CA, 946123429.

What is the Samuel Jacob Bastacky's specialty and taxonomy code?

The Samuel Jacob Bastacky's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did Samuel Jacob Bastacky receive its 1346392156 assignment from the Centers for Medicare & Medicaid Services?

The Samuel Jacob Bastacky was assigned its 1346392156 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Samuel Jacob Bastacky, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Samuel Jacob Bastacky, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-22.

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