Individual provider Active NPI

Laila Lofty Basta, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1316308257
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11632 Issued in OK
Practice address
765 Market Street
Apartment 35a
San Francisco, CA 94103-2041
Phone
(415) 896-5835
Fax
(415) 896-5836
NPI assigned
Mar 18, 2016
Last updated
Mar 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11632 OK Primary

Addresses

Primary practice location

765 Market Street
Apartment 35a
San Francisco, CA 94103-2041

Mailing address

765 Market Street
Apartment 35a
San Francisco, CA 94103-2041
Phone (415) 896-5835

Other names 1

  • Mrs. Laila L Basta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11632OKMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1316308257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 MARKET STREET",
            "address_2": "APARTMENT 35A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032041",
            "telephone_number": "415-896-5835",
            "fax_number": "415-896-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MARKET STREET",
            "address_2": "APARTMENT 35A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032041",
            "telephone_number": "415-896-5835",
            "fax_number": "415-896-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "LAILA",
        "middle_name": "LOFTY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "11632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAILA",
            "last_name": "BASTA",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.