Nianiaris, Nastasia
Nianiaris, Nastasia is an individual health care provider with primary practice located at 627 W Avenue Q Ste D , Palmdale CA 93551-3891. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nianiaris, Nastasia can be contacted via phone (661) 272-5656.Contact Information
Primary practice address
627 W Avenue Q Ste D
Palmdale CA 93551-3891
Phone: (661) 272-5656
Fax: (661) 272-0909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A162292 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A162292 | California |
Profile Details
| NPI number | 1023461696 |
|---|---|
| LBN Legal business name | Nianiaris, Nastasia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Dec 13th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023461696 | NPPES |
| California | MEDICAID | 954570184 |
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