DR. OSCAR FERNANDO SUGASTTI M.D. NPI 1255330759

NPI Information

  • NPI: 1255330759
  • Provider Name: DR. OSCAR FERNANDO SUGASTTI, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • CLIA Number: 21D2011623
  • Address: 14009 MINNIEVILLE ROAD
    WOODBRIDGE, VA
    ZIP 22193
  • Phone: (703) 580-6400

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NPI Details

DR. Oscar Fernando Sugastti, M.D. is a pediatrics in Woodbridge, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Oscar Fernando Sugastti, M.D. NPI is 1255330759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14009 MINNIEVILLE ROAD
WOODBRIDGE, VA
ZIP 22193
Phone: (703) 580-6400
Fax: (703) 580-6402

The CLIA number assigned to this NPI record is 21D2011623 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 4/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsD0068004MARYLANDNo
2208000000XPediatrics0101239590VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020435I99MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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