Leonid Basovich DO Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LEONID BASOVICH DO INC

Practice address

7777 Greenback LN Ste 103
Citrus Heights, CA 95610-5800

Phone

(916) 905-1777

Fax

(888) 855-7555

NPI assigned

Jan 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Basovich, DONPI 1285626515

Title

President

Phone

(516) 884-2349

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Leonid Basovich, DO, DAOBFP

  • Family Medicine Physician
  • Citrus Heights, CA
  • NPI 1285626515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1629542949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GREENBACK LN STE 103",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956105800",
            "telephone_number": "916-905-1777",
            "fax_number": "888-855-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GREENBACK LN STE 103",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956105800",
            "telephone_number": "916-905-1777",
            "fax_number": "888-855-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID BASOVICH DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BASOVICH",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-884-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Howard Lee
• Stephanie Diane Lee
• Susan Jane Lee, PT
• Ashlee Lemaster
• Mialana L Lene I
• Ariel Lesh
• Lilian Jean Leveque
• Mariah Malerie Lewis
• Staycee D Lewis
• Sean Leydon

• Primary Care Clinic/Center in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.