Vincent Caluza Basobas

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

135 N Park View St
Los Angeles, CA 90026-5215

Phone

(213) 908-5050

NPI assigned

May 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Filipino American Service Group, Inc.

  • Community Health Worker
  • Los Angeles, CA
  • NPI 1548392194
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104483635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W 224TH PL",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453707",
            "telephone_number": "310-612-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK VIEW ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265215",
            "telephone_number": "213-908-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASOBAS",
        "first_name": "VINCENT",
        "middle_name": "CALUZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F6895437",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vincentb@fasgi.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Filipino American Service Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "work",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "135 N Park View St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900265215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacquelyn Lisa Baskin-Miller, M.D.
• Yasmin Dera Baskin, IBCLC
• James Alan Basler Jr.
• Kathy Lynn Basmajian, DDS
• Luz Basmajian
• Saihej Paul Singh Basra
• Zahir Imtiaz Basrai, M.D.
• Karen Bass Basterretche, M.A., CCC-SLP
• Bass Chiropractic Professional Corp
• Bass Chiropractic Professional Corp

• Community Health Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.