BASANTA KC NP NPI 1366954620

NPI Information

NPI: 1366954620
Provider Name: BASANTA KC, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12750 CENTER COURT DR S STE 650
CERRITOS, CA
ZIP 90703
Phone: (323) 628-8671
Get Directions

Basanta Kc, NP is a family nurse practitioner in Cerritos, CA. Basanta Kc, NP NPI is 1366954620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12750 CENTER COURT DR S STE 650
CERRITOS, CA
ZIP 90703-569
Phone: (323) 628-8671

The NPI 1366954620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 4/19/2023.

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
1	363LF0000X	Nurse Practitioner	Family	11286	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	95006273	CALIFORNIA	Yes
3	363LF0000X	Nurse Practitioner	Family	088676-23	NEW HAMPSHIRE	No
4	363LF0000X	Nurse Practitioner	Family	APRN03136	RHODE ISLAND	No

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: 4/28/2024

NPI Synchronization or Removal

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