Michaelbastanidpm - Podiatrist in Irvine, CA

Michaelbastanidpm is a Podiatrist - Foot & Ankle Surgery based in Irvine, California. Michaelbastanidpm is licensed to practice in * (Not Available) (license number ) and their current practice location is 22 Odyssey Ste 115, Irvine, California. It can be reached at their office (for appointments etc.) via phone at (424) 256-8956.

NPI number for Michaelbastanidpm is 1407496318 and their current mailing address is 23785 El Toro Rd # 450, Lake Forest, California. Michaelbastanidpm does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407496318.

Contact Information

Michaelbastanidpm
22 Odyssey Ste 115,
Irvine, CA 92618-3188
(424) 256-8956
Not Available



Healthcare Provider's Profile

Full NameMichaelbastanidpm
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location22 Odyssey Ste 115, Irvine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407496318
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 01/08/2020

Medical Identifiers

Medical identifiers for Michaelbastanidpm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407496318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michaelbastanidpm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michaelbastanidpm
23785 El Toro Rd # 450,
Lake Forest, CA 92630-4762

Ph: () -
Michaelbastanidpm
22 Odyssey Ste 115,
Irvine, CA 92618-3188

Ph: (424) 256-8956

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› Verified 8 days ago


Podiatrist in Irvine, CA

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Phone: 949-651-1202    Fax: 949-552-9493
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Phone: 714-404-5641    

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