Individual provider Active NPI

Maha Basidiq

  • Occupational Therapy Assistant
  • Santa Maria, CA
National Provider Identifier
1033507223
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
373 Issued in CA
Practice address
562 Santa Cruz CT
Santa Maria, CA 93455-1750
Phone
(559) 285-6664
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 373 CA Primary

Addresses

Primary practice location

562 Santa Cruz CT
Santa Maria, CA 93455-1750

Mailing address

562 Santa Cruz CT
Santa Maria, CA 93455-1750
Phone (559) 285-6664

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1033507223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SANTA CRUZ CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551750",
            "telephone_number": "559-285-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SANTA CRUZ CT",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551750",
            "telephone_number": "559-285-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIDIQ",
        "first_name": "MAHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.