PETER BASTIAN MD – NPI #1710299821
Preventive Medicine

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Health Care Provider Taxonomy Code for Preventive Medicine

PETER BASTIAN is a physician located in LOMA LINDA, CA. NPPES has assigned the NPI number 1710299821 to PETER BASTIAN on July 06, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0901X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Public Health & General Preventive Medicine

The NPI profile was last updated on Oct 15, 2024. 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 PETER BASTIAN below.

NPI Profile for
PETER BASTIAN

NPI Number
1710299821
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER BASTIAN
Credentials
MD
Primary location
24785 STEWART ST STE 204
LOMA LINDA, CA 92350-1721
Phone: (909) 558-4594 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine (Primary)		 CA A147445
208D00000X
- General Practice		 CA A147445

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
Y
Endpoint Location
9961 SIERRA AVE,
FONTANA, CA 77025-1669

Additional Information

Education
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER BASTIAN is affiliated with the following medical group(s):
  • HOSPITAL
    • LOMA LINDA UNIVERSITY MEDICAL CENTER
      11234 ANDERSON ST
      LOMA LINDA, CA 92354

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.