Active NPI
Hussein Basma
- Non-emergency Medical Transport (VAN)
- Elk Grove, CA
National Provider Identifier
1023669686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 5114
- Practice address
- 10136 Brenna Way
Elk Grove, CA 95757-5957 - Phone
- (650) 222-3755
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 5114 | CA | Primary |
Addresses
Primary practice location
10136 Brenna Way
Elk Grove, CA 95757-5957
Mailing address
10136 Brenna Way
Elk Grove, CA 95757-5957
Phone (650) 222-3755
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | basma332@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5114 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Agency | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Elk Grove, CA
- NPI 1982231551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1023669686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10136 BRENNA WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957575957",
"telephone_number": "650-222-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10136 BRENNA WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957575957",
"telephone_number": "650-222-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASMA",
"first_name": "HUSSEIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "5114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "basma332@outlook.com",
"affiliation": "N",
"endpointDescription": "business",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10136 Brenna Way",
"city": "Elk Grove",
"state": "CA",
"country_code": "US",
"postal_code": "957575957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.