What is Carlos Bastardo's NPI number?

Carlos Bastardo's National Provider Identifier (NPI) is 1417492281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Carlos Bastardo's specialty?

Carlos Bastardo is listed in the NPPES registry with a primary specialty of Prevention Professional (Other Service Providers).

Where is Carlos Bastardo located?

Carlos Bastardo's practice location on file with NPPES is 11191 Shadylane Dr, Plymouth, IN 46563-8623.

What is Carlos Bastardo's phone number?

The practice phone number listed in the NPPES registry for Carlos Bastardo is (574) 936-4152.

Is Carlos Bastardo's NPI active?

Yes — Carlos Bastardo's NPI (1417492281) is active in the NPPES registry as of the last update on 2017-01-03.

IndividualActive

Carlos Bastardo

NPI 1417492281 · Prevention Professional · Plymouth, IN

Carlos Bastardo is a Prevention Professional provider in Plymouth, IN (NPI 1417492281).

Provider details

NPI number: 1417492281
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Sex: Male
Sole proprietor: No
License: 3577690 (IN)

Specialties & taxonomies

Prevention ProfessionalPrimary405300000XLicense 3577690 (IN)
Other Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

11191 Shadylane Dr

Plymouth, IN 46563-8623

Phone: (574) 936-4152

Fax: (312) 256-9390

Street-level locationGet directions

Mailing address