MEDICARE: SIDNEY ANNE BAST OTR/L

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	225X00000X	Occupational Therapist	20077	CA

General Provider Information

NPI Number	:	1467005413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIDNEY ANNE BAST OTR/L

Provider Business Mailing Address
First Line	:	38967 LONE CIR
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-6201
Country	:	US
Telephone Number	:	951-264-0534
Fax Number	:

Provider Business Practice Location Address
First Line	:	24671 MONROE AVE STE 101
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92562-2527
Country	:	US
Telephone Number	:	951-677-4105
Fax Number	:	951-677-4106

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

Provider Enumeration Date	:	07/18/2019
Last Update Date	:	07/18/2019

Similar Medicare Providers

1760526263 — STEVE E. GRUER PA-C
Practice Location Address:

24671 MONROE AVE , # 102
MURRIETA, CA
92562-2527

Practice Phone: 951-461-8143
Practice Fax: 951-461-8547

1841836814 — DR. ALLISON GRANZELLA DPT
Practice Location Address:

24671 MONROE AVE STE 101
MURRIETA, CA
92562-2527

Practice Phone: 951-677-4105
Practice Fax: 951-677-4106

1477320356 — ROBIN MERCADO OTD
Practice Location Address:

24671 MONROE AVE STE 101
MURRIETA, CA
92562-2527

Practice Phone: 951-677-4105
Practice Fax: 951-677-4106

1578421343 — ANGELINE GONZALES
Practice Location Address:

25190 HANCOCK AVE STE C
MURRIETA, CA
92562-5984

Practice Phone: 951-200-5532
Practice Fax:

1932067642 — PUSHTI CORPORATION
Practice Location Address:

39872 LOS ALAMOS RD STE A10
MURRIETA, CA
92562-5871

Practice Phone: 951-677-1114
Practice Fax: 951-677-1121

1447118633 — THOMAS LE
Practice Location Address:

25495 MEDICAL CENTER DR STE 102
MURRIETA, CA
92562-4903

Practice Phone: 951-506-9536
Practice Fax:

Directions to “ SIDNEY ANNE BAST OTR/L” 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.