Basic on-Call, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A99924 Issued in CA

Legal business name

BASIC ON-CALL, LLC

Practice address

4631 Teller Ave
Suite 100
Newport Beach, CA 92660-8105

Phone

(949) 292-1881

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Gowriharan Thaiyananthan, M.D.

Title

President

Phone

(949) 282-1881

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1699014019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CENTER DR",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459200",
            "telephone_number": "949-292-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-292-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC ON-CALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "THAIYANANTHAN",
        "authorized_official_first_name": "GOWRIHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-282-1881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A99924",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A80845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1639355472",
            "identifier": "1639355472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1518164110",
            "identifier": "1518164110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evangelos Bartsokas, D.D.S.
• Hany Gabar Bashandy, MD
• Wally Bashawaty, DDS
• Jesse Ryan Bashem, PH.D.
• Bashnona Inc
• Ruth Warner Bass, MS, CCC-SLP
• Jeffrey C. Bassett, M.D., M.P.H.
• Nikhil Singh Bassi, M.D.
• John Anotony Bassily, DC
• Hamid B Bassir, DDS

• Neurological Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.