Individual
JAMES P. TASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6719 ALVARADO RD, STE 200, SAN DIEGO, CA 92120-5256
(619) 229-3932
(619) 582-2860
Mailing address
6719 ALVARADO RD, STE 200, SAN DIEGO, CA 92120-5256
(619) 229-3932
(619) 582-2860
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G14672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G146720
—
CA
01
—
WG14672D
MEDICARE ID
CA
Enumeration date
05/24/2005
Last updated
09/15/2017
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