Samuel Jacob Bastacky
MD | Pediatrics | Male
Samuel Jacob Bastacky, MD is a San Francisco, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Samuel Jacob Bastacky is
2200 Ofarrell St, San Francisco, California - 94115-3357. He can be contacted on phone at
415-833-2000.
Samuel Jacob Bastacky is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel Jacob Bastacky is
1346392156 which was assigned by NPPES on 18 Jan, 2007 and it was last updated on 22 Sep, 2011.
Samuel Jacob Bastacky license number is
G31957 for Pediatrics (208000000X) in California.
Samuel Jacob Bastacky is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Samuel Jacob Bastacky basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Samuel Jacob Bastacky |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Samuel Jacob Bastacky address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2200 Ofarrell St
San Francisco, CA, 94115-3357
United States |
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| Phone Number : | 415-833-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346392156 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jan, 2007 |
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| Last Updated On : | 22 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Jacob Bastacky are as mentioned. Primary taxonomy code for Samuel Jacob Bastacky, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G31957 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Samuel Jacob Bastacky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G319570 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3429
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Samuel Jacob Bastacky practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.