Imtiaz Siraj Basrai, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

A036962 Issued in CA

Practice address

532 E Colorado Blvd
8TH.Floor
Pasadena, CA 91101-2044

Phone

(626) 229-3822

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497843544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4309",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917650309",
            "telephone_number": "626-229-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 E COLORADO BLVD",
            "address_2": "8TH.FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012044",
            "telephone_number": "626-229-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRAI",
        "first_name": "IMTIAZ",
        "middle_name": "SIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A036962",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A036962",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A036962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaleel Bashir, MD
• Kyle Basical, MD
• Deena Ashraf Basilious
• Haig Basmadjian, DC
• Owen Basore
• Sanah Basrai
• Jason Bass
• Alina Bassentsian, RN
• Rohit Basson, DDS
• Kristin J.a.E Basulto

• Geriatric Psychiatry Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.