Jessica Basa, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A053608 Issued in CA

Legal business name

JESSICA BASA, M.D., INC.

Practice address

705 E Virginia Way
Suite F
Barstow, CA 92311-3978

Phone

(760) 256-1227

Fax

(760) 256-1239

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Jessica Basa, M.D.NPI 1952360539

Title

C.E.O.

Phone

(760) 256-1227

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Barstow Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Basa, M.D.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1952360539
  Medicare reassignment Care Compare group NPD Authorized official
• Mehul Shailesh Sonawala, M.D.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1336166180
  Medicare reassignment Care Compare group NPD
• Carol Elizabeth Todd, R.N.,C.S.,F.N.P.

  • Family Nurse Practitioner
  • Barstow, CA
  • NPI 1447378757
  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1194844597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY",
            "address_2": "SUITE F",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113978",
            "telephone_number": "760-256-1227",
            "fax_number": "760-256-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY",
            "address_2": "SUITE F",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113978",
            "telephone_number": "760-256-1227",
            "fax_number": "760-256-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BASA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BASA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "760-256-1227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A053608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP3351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZ54503Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barstow Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica James
• DO Young Jang, DDS
• Saehoon Jang, D.D.S
• Tanisha Shante Jarmon Flores, LMFT
• Kyijanay Jenkins
• Jennifer Jewert, LCSW
• Jiann E Chang M D a Professional Corporation
• Samantha Jimenez Ramos
• Itxell Jimenez
• Joey S. Tirador, DDS, Inc.

• Family Medicine Physician in Barstow, CA
• Providers in Barstow, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.