Christina Basham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA51939 Issued in CA

Practice address

311 N Colorado PL
Long Beach, CA 90814-2325

Phone

(760) 902-4617

NPI assigned

Oct 6, 2014

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Western University of Health Sciences College of Dental Med, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

F Awadalla MD PCGroup PAC ID 0446685481, 5 clinicians

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• F Awadalla MD PC

  dba Skincredible Dermatology & Surgery

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1255982724
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment Care Compare group NPD
• F Awadalla MD PC

  dba Skincredible Dermatology & Surgery

  • Foot & Ankle Surgery Podiatrist
  • Mission Viejo, CA
  • NPI 1740164326
  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1992108823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 300",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516766",
            "telephone_number": "949-499-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N COLORADO PL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142325",
            "telephone_number": "760-902-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA51939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Barton-Grimley, LCSW
• Cornelia Nelly Barton, MD
• Julissa Barton
• Alexander Bartosch
• Sara Basch
• Bashar Komoc DDS, Inc. (American Dental Center)
• Christopher Basiago, D.D.S.
• Jonathan Basiago, DDS
• Ana Basilio
• Lea Michelle Basler, LCSW

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
• 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.