Mahbanoo Bastani

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT87455 Issued in TX

Practice address

3954 May Ridge LN
Sugar Land, TX 77479-4617

Phone

(832) 382-5178

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By 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 TX, NJ, AZ3 enrollments

Enrollment records 3

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Surely Health, Inc.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Season Clinical Care P.a.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AZ, Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care NJ PC

  dba Season Health

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• H-E-B, LP

  dba Heb Pharmacy #425

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1821985060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 MAY RIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794617",
            "telephone_number": "832-382-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 MAY RIDGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794617",
            "telephone_number": "832-382-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANI",
        "first_name": "MAHBANOO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelita Lourdes Patricio Basa, M.D.
• Salimah Basaria, CNP
• Veena Basava, M.D
• Majid Basit, M.D.
• Cidnea Ellen Baskinger, APRN, AGNP-C
• Kevin Hines Bastin, ATC, LAT
• Maryann Chigaemezu Bate
• Freida Carrolyn Bates, CRNA
• Aditya Batra, PT, DPT
• Cecilio Enrique Batres, MD

• Registered Dietitian in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.