# JAMES P TASTO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306852157
- **Authorized official:** MRS. RENEE HARDESTY (LVN)
- **Authorized official phone:** (619) 229-5018

## Contact information

- **Practice address:** 6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
- **Practice address phone:** (619) 229-5018
- **Practice address fax:** (619) 229-2968
- **Mailing address:** 6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
- **Mailing address phone:** (619) 229-5018
- **Mailing address fax:** (619) 229-2968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 02/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0071970 | — | CA |
| 01 | — | ZZZ45476Z | BLUE SHIELD ID\# | CA |