STEFANIE BASSO CPT CNS MS NPI 1114644267

NPI Information

  • NPI: 1114644267
  • Provider Name: STEFANIE BASSO, CPT CNS, MS
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Individual
  • Address: 6612 MISSION GORGE RD STE B
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (808) 226-2113

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NPI Details

Stefanie Basso, CPT CNS, MS is a nutrition and education nutritionist in San Diego, CA. Stefanie Basso, CPT CNS, MS NPI is 1114644267. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6612 MISSION GORGE RD STE B
SAN DIEGO, CA
ZIP 92120-346
Phone: (808) 226-2113

The enumeration date for this NPI number is 10/19/2022 and was last updated on 10/19/2022.

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
1133NN1002XNutritionistNutrition, Education2717254CALIFORNIAYes

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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