Active NPI
Saeda Basta, DDS, MS
- Prosthodontics
- Covina, CA
National Provider Identifier
1568486934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 45261
- Practice address
- 217 W San Bernardino Rd
Covina, CA 91723-1516 - Phone
- (626) 915-7711
- Fax
- (626) 915-7722
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 45261 | CA | Primary |
Addresses
Primary practice location
217 W San Bernardino Rd
Covina, CA 91723-1516
Mailing address
217 W San Bernardino Rd
Covina, CA 91723-1516
Phone (626) 915-7711
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001130 | CA | Order and Referring Only - Oral Surgery | 0345548236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45261 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1568486934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917231516",
"telephone_number": "626-915-7711",
"fax_number": "626-915-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917231516",
"telephone_number": "626-915-7711",
"fax_number": "626-915-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTA",
"first_name": "SAEDA",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "45261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.