Individual provider Active NPI

Natalie Waters Basin, PA-C

  • Medical Physician Assistant
  • Oceanside, CA
National Provider Identifier
1477196897
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
57272 Issued in CA
Practice address
3629 Vista Way
Oceanside, CA 92056-4522
Phone
(760) 757-7546
Fax
(760) 828-9140
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 57272 CA Primary

Addresses

Primary practice location

3629 Vista Way
Oceanside, CA 92056-4522

Mailing address

3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231001887 CA Practitioner - Physician Assistant 7618301508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists IncGroup PAC ID 2769380989, 14 clinicians
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

25495 Medical Ctr Dr
Suite 200
Murrieta, CA 92562-4903
Phone (951) 304-7546

3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-7546

3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855

838 Nordahl Rd
Suite 250
San Marcos, CA 92069-3596
Phone (760) 738-7600

Merit-based Incentive Payment System (MIPS)

Final score
93.18 of 100Reported as group
Quality
86.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Dermatology Specialists Inc Past Accepting new patients
Regents of the University of California Past Accepting new patients
Azadeh Shirazi MD Inc PastSince Oct 1, 2022 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1477196897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-757-7546",
            "fax_number": "760-828-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-757-7546",
            "fax_number": "760-828-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIN",
        "first_name": "NATALIE",
        "middle_name": "WATERS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.