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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023461696 NPPES
California MEDICAID 954570184

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