Suparna Basu MD PC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

SUPARNA BASU MD PC

Practice address

40886 Goodwin Way
Madera, CA 93636-9900

Phone

(516) 232-5732

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Suparna BasuNPI 1679719777

Title

MD

Phone

(516) 232-5732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Suparna Basu, MD

  • Psychiatry Physician
  • Peoria, IL
  • NPI 1679719777

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1215756705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SUNNY MDWS",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750724054",
            "telephone_number": "516-232-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40886 GOODWIN WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369900",
            "telephone_number": "516-232-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPARNA BASU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "SUPARNA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-232-5732"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G Sumner, RN, BSN, RNFA
• Sherry Lee Sumner, P.A.
• Deborah Sung, M.D.
• Benita Kaur Sungu, RPH
• Sunset Medical Supply
• Michael Ryan Svozil
• Dave Swaby, M.D
• Joselito L Syfu, MD
• Laraib Tabba, M.D.
• Elle Marie Tacadena

• Psychiatric Hospital in Madera, CA
• Providers in Madera, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.