Active NPI
Dina Bashoura
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1932796596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 760 Westwood PLZ
Los Angeles, CA 90024-5055 - Phone
- (909) 576-9822
- NPI assigned
- Dec 29, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
760 Westwood PLZ
Los Angeles, CA 90024-5055
Mailing address
2243 Calle Margarita
San Dimas, CA 91773-4468
Phone (909) 576-9822
Other practice location 1
4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194
Phone (949) 743-1457
Other practice location 2
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2345
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbashoura@llu.edu | Loma Linda University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Evans PHD Psychology PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Brain Wellness Institute
- Clinical Psychologist
- Costa Mesa, CA
- NPI 1861902280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1932796596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 CALLE MARGARITA",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734468",
"telephone_number": "909-576-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055",
"telephone_number": "909-576-9822"
}
],
"practiceLocations": [
{
"address_1": "4700 Von Karman Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602194",
"country_code": "US",
"telephone_number": "949-743-1457",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W Carson St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASHOURA",
"first_name": "DINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-29",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbashoura@llu.edu",
"affiliation": "Y",
"affiliationName": "Loma Linda University",
"address_1": "Loma Linda University-Center For Health Promotion",
"address_2": "24785 Stewart Street, Room 111",
"city": "Loma Linda",
"state": "CA",
"country_code": "US",
"postal_code": "923500001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.