Maged Basilios, MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A061990 Issued in CA

Legal business name

MAGED BASILIOS, MD INC

Practice address

4505 E Slauson Ave
Suite E
Maywood, CA 90270-4955

Phone

(323) 771-0080

Fax

(323) 771-0090

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Maged Basilios, MDNPI 1225021462

Title

President

Phone

(323) 771-0080

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

Practitioners 1

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

• Maged Z Basilios, MD INC

  • Family Medicine Physician
  • Maywood, CA
  • NPI 1225021462

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1326459256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E SLAUSON AVE",
            "address_2": "SUITE E",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902704955",
            "telephone_number": "323-771-0080",
            "fax_number": "323-771-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 E SLAUSON AVE",
            "address_2": "SUITE E",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902704955",
            "telephone_number": "323-771-0080",
            "fax_number": "323-771-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGED BASILIOS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BASILIOS",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-771-0080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A061990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyong Kim, PHARMD
• Tiana Le
• Seunglyul Lee
• Leonard J Feld,DDS, Inc.
• Steve Loh, D.O.
• Manfred Molina,MD Inc.
• Faten KG Marcos, DDS
• Maria G Martinez
• Mia Martinez
• Ashik Mathur, OD

• All providers in Maywood, CA
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.