Kanchan Basi, M.D.
Individual provider Active NPI Family Medicine Physician · French Camp, CA
NPI 1154590826 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1154590826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A102335 (CA)
- Practice address
- 500 W Hospital Rd
French Camp, CA 95231-9693 - Phone
- (209) 468-6600
- Fax
- (209) 468-7042
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
Hospital & facility affiliations
- Kaiser Foundation Hospital Manteca
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081021000775 | CA | Practitioner - Family Practice | 0244398121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102335 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Permanente Medical Group, Inc | Current |
Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000
1800 Harrison St
Fl 7
Oakland, CA 94612
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A102335 | CA | Yes |
Addresses
Primary practice location
500 W Hospital Rd
French Camp, CA 95231-9693
Mailing address
PO Box 1020
Stockton, CA 95201-3120
Phone (209) 468-6600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in French Camp, CA
- Tonya C Barnard
- Rebecca Barneson
- Jesus Barraza
- Randy Raymond Barretto
- Lauren Anne Barton
- Jason T Bass
- Sangita Batish
- Gregory A. Baumgarten
- Maryrose Bautista
- Sandra F Beas
All providers in French Camp, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.