Jefferson Bastidas, M.D

NPI 1609808195 · on the registry since 2006 · sole proprietor

Practice

Address: 14981 National Ave Ste 4
Los Gatos, CA 95032
Phone: (408) 358-4747
Fax: (408) 358-4742
Organisation at this address: Qualium Corp
Qualium Corp.
Jane W Chien Md Inc
Robert D Verrette, Dpm,Inc
California Surgical Service
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Surgery Physician
208600000X
Also registered as: Surgical Oncology Physician
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California