SAMUEL J. BASTACKY MD – NPI #1346392156
Pediatrics

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 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.

SAMUEL BASTACKY is a physician located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1346392156 to SAMUEL BASTACKY on January 18, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Sep 22, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL BASTACKY below.

NPI Profile for
SAMUEL J. BASTACKY

NPI Number
1346392156
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL J. BASTACKY
Credentials
MD
Primary location
2200 OFARRELL ST
SAN FRANCISCO, CA 94115-3357
Phone: (415) 833-2000 Fax:
Mailing address
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone: (510) 625-6262 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for SAMUEL BASTACKY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G319570
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA G31957

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.