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

Azar S Bastanfar, CERTIFIEDNURSEPRAC

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1265459184

Azar S Bastanfar, CERTIFIEDNURSEPRAC is an Obstetrics & Gynecology Nurse Practitioner in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

9850 Genesee Ave Ste 600
LA Jolla, CA 92037-1207
Phone: (858) 453-0753
Fax: (760) 414-3713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9526 (CA)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence 538431 (CA)

Record details

NPI number1265459184
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDNURSEPRAC
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESAugust 15, 2011

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