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JESSICA BASA M.D. INC. NPI 1194844597


NPI Information

NPI: 1194844597
Provider Name: JESSICA BASA, M.D., INC.

Doing Business As: BARSTOW FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
705 E VIRGINIA WAY
SUITE F
BARSTOW, CA
ZIP 92311
Phone: (760) 256-1227
Get Directions

JESSICA BASA, M.D., INC. is a family medicine in Barstow, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JESSICA BASA, M.D., INC. NPI is 1194844597. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Barstow Family Care.

The provider's business location address is:

705 E VIRGINIA WAY
SUITE F
BARSTOW, CA
ZIP 92311-978
Phone: (760) 256-1227
Fax: (760) 256-1239

The provider's authorized official is Jessica Basa .
The authorized official title is C.e.o. and has the following contact phone number (760) 256-1227.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/29/2010.


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
1207Q00000XFamily MedicineA053608CALIFORNIAYes

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
1DP3351OTHERRAILROAD MEDICARE
2ZZZ25429ZMEDICARE ID-TYPE UNSPECIFIED
3=========OTHERBLUE CROSS CA
4ZZZ54503ZOTHERBLUE SHIELD CA

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: 5/5/2024

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