Active NPI
Sukhjit Basi, MD
- Pediatrics Physician
- Livermore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A84820
- Practice address
- 1133 E Stanley Blvd Ste 103
Livermore, CA 94550-4270 - Phone
- (925) 455-5050
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A84820 | CA | Primary |
Addresses
Primary practice location
1133 E Stanley Blvd Ste 103
Livermore, CA 94550-4270
Mailing address
1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341
Phone (925) 785-8934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A848200 | Other | CA | PIN |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000188 | CA | Practitioner - Pediatric Medicine | 1052325867 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84820 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Bruce M. Gach, M.D., Inc. | Past | Accepting new patients |
Locations
1133 E Stanley Blvd
Ste 103
Livermore, CA 94550
Phone (925) 455-5050
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
5575 W Las Positas Blvd
Ste 340
Pleasanton, CA 94588
Phone (925) 847-9777
11030 Bollinger Canyon Rd
San Ramon, CA 94582
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Livermore, CA
- NPI 1801897806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1700978616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 EMBARCADERO RD",
"address_2": "STE 100",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033341",
"telephone_number": "925-785-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E STANLEY BLVD STE 103",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504270",
"telephone_number": "925-455-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASI",
"first_name": "SUKHJIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A84820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "00A848200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.