Active NPI
Leonid Basovich, DO, DAOBFP
- Family Medicine Physician
- Citrus Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A13731
- Practice address
- 7777 Greenback LN Ste 103
Citrus Heights, CA 95610-5800 - Phone
- (916) 905-1777
- Fax
- (888) 855-7555
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | A13731 | CA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A13731 | CA | |
| Family Medicine Physician | 207Q00000X | A13731 | CA | Primary |
Addresses
Primary practice location
7777 Greenback LN Ste 103
Citrus Heights, CA 95610-5800
Mailing address
7777 Greenback LN Ste 103
Citrus Heights, CA 95610-5800
Phone (916) 905-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7777 Greenback LN
Suite 103
Citrus Heights, CA 95610-5800
Phone (916) 905-1777
Hospital & facility affiliations
- Your Choice Home Health, Inc
- Sutter Roseville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13731 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonid Basovich DO Inc | Current | Accepting new patients | |
| Primary Care Family Doctor P.C. | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Past | Accepting new patients |
Locations
7777 Greenback Ln
Ste 103
Citrus Hts, CA 95610
Phone (916) 835-7777
3260 Beard Rd
Ste 5
Napa, CA 94558
Phone (707) 256-5000
565 Route 25A
Ste 101
Miller Place, NY 11764
Phone (631) 731-1836
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Citrus Heights, CA
- NPI 1629542949
-
- Family Medicine Physician
- Miller Place, NY
- NPI 1841557378
Neuromusculoskeletal Medicine & Omm
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- Home Health Agency
- Rancho Cordova, CA
- NPI 1255710489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1285626515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 GREENBACK LN STE 103",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956105800",
"telephone_number": "916-905-1777",
"fax_number": "888-855-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 GREENBACK LN STE 103",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956105800",
"telephone_number": "916-905-1777",
"fax_number": "888-855-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASOVICH",
"first_name": "LEONID",
"name_prefix": "Dr.",
"credential": "DO, DAOBFP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "A13731",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A13731",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A13731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.