Active NPI
Frank Edward Basa, M.D.
- Legal Medicine
- Burbank, CA
National Provider Identifier
1821063793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A75330
- Practice address
- 2701 W Alameda Ave
#403
Burbank, CA 91505-4402 - Phone
- (626) 940-8500
- Fax
- (626) 357-6743
- NPI assigned
- Feb 22, 2006
- Last updated
- Oct 22, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A75330 | CA | Primary |
Addresses
Primary practice location
2701 W Alameda Ave
#403
Burbank, CA 91505-4402
Mailing address
1110 S 10TH Ave
Arcadia, CA 91006-4505
Phone (626) 357-6769
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 |
|---|---|---|---|---|
| I20151006001628 | CA | Order and Referring Only - Internal Medicine | 4880792001 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75330 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Picture and Television Fund Medical Group Inc | Past | Accepting new patients | |
| Motion Picture and Television Fund Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Burbank, CA
- NPI 1235465337
-
- Internal Medicine Physician
- Woodland Hills, CA
- NPI 1013942622
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1821324542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1821063793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 S 10TH AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910064505",
"telephone_number": "626-357-6769",
"fax_number": "626-357-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W ALAMEDA AVE",
"address_2": "#403",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054402",
"telephone_number": "626-940-8500",
"fax_number": "626-357-6743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASA",
"first_name": "FRANK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "CA",
"license": "A75330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.