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Contact Information

NASTASIA NIANIARIS, MD
627 W AVENUE Q STE D
PALMDALE, CA93551-3891
 Phone: 661-272-5656
 Fax: 661-272-0909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NASTASIA NIANIARIS · (Female)

NPI Number 1023461696
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2016
Last updated 12/13/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A162292
  • CA Medicaid 954570184
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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