Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Vastag, MD

Individual provider Psychiatry Physician · NPI 1417396466

Amanda Vastag, MD is a Psychiatry Physician in San Mateo, California. Licensed in California and Illinois. Registered with an NPI since 2013.

Licensed in
CA, IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

222 W 39th Ave
San Mateo, CA 94403
Phone: (650) 573-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 155110 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036139917 (IL)

Record details

NPI number1417396466
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing address222 W 39th Ave, San Mateo, CA 94403-4364

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