Nusha Bashardoust, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA51713 Issued in CA

Practice address

23622 Calabasas Rd
#339
Calabasas, CA 91302-1549

Phone

(818) 225-0117

Fax

(818) 225-0127

NPI assigned

Jul 11, 2014

Last updated

Jul 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment
• Providence Facey Medical Foundation

  dba Facey Medical Group

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588
  Medicare reassignment
• Sherman Oaks Emergency Medical Associates

  • Emergency Medicine Physician
  • Sherman Oaks, CA
  • NPI 1518904150
  Medicare reassignment
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103
  Medicare reassignment
• West Hills Dermatology Group a Medical Corporation

  • Procedural Dermatology Physician
  • West Hills, CA
  • NPI 1487707097
  Medicare reassignment
• Providence Facey Medical Foundation

  dba Providence Express Care

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Anna D Guanche MD Inc

  dba Bella Skin Institute Inc

  • Dermatology Physician
  • Calabasas, CA
  • NPI 1902859770
  NPD (past)
• Bella Skin Institute

  • Medical Physician Assistant
  • Calabasas, CA
  • NPI 1679988844
  NPD (past)
• Howard L Sofen, MD a Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1588723571
  NPD (past)
• Ophthalmology Associates of the Valley Medical Group

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1962483537
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1669888574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD",
            "address_2": "#339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021549",
            "telephone_number": "818-225-0117",
            "fax_number": "818-225-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD",
            "address_2": "#339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021549",
            "telephone_number": "818-225-0117",
            "fax_number": "818-225-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHARDOUST",
        "first_name": "NUSHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA51713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Barbosa
• Micaela Barrera-Herron
• Heather Barrett, PH.D.
• Ina Barrientos
• Biridiana Barrios
• Nadia Basharkhah, M.D
• Charleata Battle, DBA, MBA
• Ronald Marc Baum, M.D.
• Ethan Beard, MD
• Henri Becker, M.D.

• Dermatology Physician in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.

Verify at the official NPI Registry.