Mariana Basha

Primary specialty

DentistTaxonomy code 122300000X

License

61130 Issued in CA

Practice address

18506 Hawthorne Blvd
Torrance, CA 90504-4515

Phone

(310) 483-7779

Fax

(844) 812-0727

NPI assigned

Mar 21, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbasha@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mariana Basha, DDS,Inc.

  • Dentist
  • Long Beach, CA
  • NPI 1437587607
  NPD Authorized official
• Samuel Gabriel DMD, Inc

  dba Cali Smiles Family Dentistry

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1215586466
  NPD

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073888152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18506 HAWTHORNE BLVD.",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905044515",
            "telephone_number": "310-483-7779",
            "fax_number": "844-812-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18506 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905044515",
            "telephone_number": "310-483-7779",
            "fax_number": "844-812-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1183 E Anaheim St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133662",
            "country_code": "US",
            "telephone_number": "562-912-4367",
            "fax_number": "562-912-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASHA",
        "first_name": "MARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Christine Bartlett, FNP
• Vanessa Bartolome
• Joel Carlos Barton, L.M.F.T
• Nicole Kristine Bartsch
• Alyssa Basdavanos, MD
• Manjit Kaur Basi
• Mohsen Basiri, MD
• Benjamin Hedayat Basseri
• Elizabeth Bassett, MD
• Samson Bassey Bassey

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.