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

John Nastasi

Individual provider Vascular Surgery Physician · NPI 1487117594

John Nastasi is a Physician Assistant in Fullerton, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

100 W Valencia Mesa Dr # 211
Fullerton, CA 92835-3768
Phone: (714) 778-1032
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 56355 (CA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 56355 (CA)

Record details

NPI number1487117594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address1211 W La Palma Ave Ste 505, Anaheim, CA 92801-2812

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fullerton