Linda Dianna Basquez, FNP
Individual provider Active NPI Family Nurse Practitioner · Simi Valley, CA
NPI 1114494010 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1114494010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95009845 (CA)
- Practice address
- 1227 E Los Angeles Ave
Simi Valley, CA 93065-2871 - Phone
- (805) 582-4000
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Ventura
Practice addresses (Care Compare)
300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 654-3306
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008000813 | CA | Practitioner - Nurse Practitioner | 9032440953 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 846163 | CA | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current | Accepting new patients |
Locations
1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000
800 S Victoria Ave
#L4640
Ventura, CA 93009
800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
Interoperability endpoints
- linda.davila@ventura.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 846163 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95009845 | CA | Yes |
Addresses
Primary practice location
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Mailing address
1582 Dakin Ave
Simi Valley, CA 93065-4518
Phone (805) 428-8156
Other names
- Linda Davila
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | linda.davila@ventura.cernerdirect.com | Direct |
Other providers in Simi Valley, CA
- Reanna Barin
- Jean Barker
- Scott T Barrella
- Leanna M Barrera
- Barry Wechsler DDS Inc
- Zade Neil Batarseh
- David William Baucher
- Melanie Baum
- John Stuart Baumann
- Clare Colleen Baumeister
All providers in Simi Valley, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.