NPIMap

Organization Active NPI

Mariana Basha, DDS,Inc.

  • Dentist
  • Long Beach, CA
National Provider Identifier
1437587607
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61130 Issued in CA
Legal business name
MARIANA BASHA, DDS,INC.
Practice address
1183 E Anaheim St
Long Beach, CA 90813-3662
Phone
(562) 912-4367
Fax
(562) 912-4369
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mariana BashaNPI 1073888152
Title
DDS
Phone
(562) 912-4367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61130 CA Primary

Addresses

Primary practice location

1183 E Anaheim St
Long Beach, CA 90813-3662

Mailing address

1183 E Anaheim St
Long Beach, CA 90813-3662
Phone (562) 912-4367

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1437587607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133662",
            "telephone_number": "562-912-4367",
            "fax_number": "562-912-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133662",
            "telephone_number": "562-912-4367",
            "fax_number": "562-912-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA BASHA, DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "562-912-4367"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.