Healthcare Provider Details

I. General information

NPI: 1295702843
Provider Name (Legal Business Name): FRANK CARL NASTANSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. FRANK NASTANSKI

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N TUSTIN AVE SUITE 116
SANTA ANA CA
92705-3528
US

IV. Provider business mailing address

999 N TUSTIN AVE STE 109
SANTA ANA CA
92705-6501
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-1915
  • Fax: 714-547-6552
Mailing address:
  • Phone: 714-547-1915
  • Fax: 714-547-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberA68851
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA68851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: