MEDICARE: ROBERT BASTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	104646	CA

General Provider Information

NPI Number	:	1316402712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BASTING

Provider Business Mailing Address
First Line	:	1920 FELSPAR ST APT 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 FELSPAR ST APT 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3522
Country	:	US
Telephone Number	:	414-614-4611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2019
Last Update Date	:	02/10/2019

Similar Medicare Providers

1538199955 — MAILINH HOANG
Practice Location Address:

3522 IDLEWILD WAY
SAN DIEGO, CA
92117-3722

Practice Phone: 858-349-5010
Practice Fax:

1528243458 — ACCESS 2 CARE INC
Practice Location Address:

3522 MERCER LN
SAN DIEGO, CA
92122-2330

Practice Phone: 866-522-8525
Practice Fax:

1063838670 — YULIA BROKKEN
Practice Location Address:

3575 CAMINITO EL RINCON UNIT 214
SAN DIEGO, CA
92130-3522

Practice Phone: 858-342-3118
Practice Fax:

1821987215 — SERENITY VILLAGE LLC
Practice Location Address:

2566 BARTEL ST
SAN DIEGO, CA
92123-3522

Practice Phone: 858-436-4845
Practice Fax:

1942151089 — VAJRAVYAPAAR LLC
Practice Location Address:

3522 SAN MARINO AVE
CLOVIS, CA
93619-8797

Practice Phone: 640-248-9110
Practice Fax:

1245181015 — SACHIN MALIK
Practice Location Address:

3522 SAN MARINO AVE
CLOVIS, CA
93619-8797

Practice Phone: 640-248-9110
Practice Fax:

Directions to “ ROBERT BASTING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.