MEDICARE: MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS

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	208800000X	Urology Physician	G76872	CA

General Provider Information

NPI Number	:	1801996939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS

Provider Business Mailing Address
First Line	:	6699 ALVARADO RD STE 2207
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5240
Country	:	US
Telephone Number	:	619-286-3520
Fax Number	:	619-265-1429

Provider Business Practice Location Address
First Line	:	6699 ALVARADO RD STE 2207
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5240
Country	:	US
Telephone Number	:	619-286-3520
Fax Number	:	619-265-1429

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARTIN DAVID BASTUBA
Credential	:	MD
Telephone Number	:	619-286-3520

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/21/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1598768327 — DR. THEODORE M. MAZER M.D.
Practice Location Address:

6699 ALVARADO RD , STE 2209
SAN DIEGO, CA
92120-5240

Practice Phone: 619-583-8990
Practice Fax: 619-265-1114

1295835072 — LEAH P FARINAS M.D.
Practice Location Address:

6699 ALVARADO RD STE 2210
SAN DIEGO, CA
92120-5240

Practice Phone: 619-522-2900
Practice Fax: 619-923-4000

1740467083 — LEAH FARINAS SURGICAL SERVICES INC
Practice Location Address:

6699 ALVARADO RD STE 2210
SAN DIEGO, CA
92120-5240

Practice Phone: 619-522-2900
Practice Fax: 619-923-4000

1952934556 — FAMILY FERTILITY CRYOBANK
Practice Location Address:

6699 ALVARADO RD STE 2208
SAN DIEGO, CA
92120-5240

Practice Phone: 619-286-3520
Practice Fax: 619-265-1429

1861270134 — TANIA PAJOUHESH
Practice Location Address:

6699 ALVARADO RD STE 2209
SAN DIEGO, CA
92120-5240

Practice Phone: 858-299-0009
Practice Fax:

Directions to “MALE FERTILITY & SEXUAL MEDICINE SPECIALISTS ” 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 © 2007-2025 (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.