Organization Active NPI

Lofty L. Basta, M.D., Inc.

  • Cardiovascular Disease Physician
  • San Francisco, CA
National Provider Identifier
1467783191
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C52038 Issued in CA
Legal business name
LOFTY L. BASTA, M.D., INC.
Practice address
450 Sutter Street
Suite 1523
San Francisco, CA 94108
Phone
(415) 982-4500
Fax
(415) 896-5836
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Lofty L. Basta, M.D.
Title
President
Phone
(415) 982-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X C52038 CA Primary

Addresses

Primary practice location

450 Sutter Street
Suite 1523
San Francisco, CA 94108

Mailing address

450 Sutter Street
Suite 1523
San Francisco, CA 94103

Other identifiers 1

IdentifierTypeStateIssuer
C52038OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

450 Sutter St
Rm 1523
San Francisco, CA 94108
Phone (415) 982-4500

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1467783191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER STREET",
            "address_2": "SUITE 1523",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER STREET",
            "address_2": "SUITE 1523",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-982-4500",
            "fax_number": "415-896-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTY L. BASTA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BASTA",
        "authorized_official_first_name": "LOFTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-982-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C52038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "C52038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 2010; 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.