Basa, Jessica

Basa, Jessica is an individual health care provider with primary practice located at 705 E Virginia Way Suite F, Barstow CA 92311-3978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Basa, Jessica can be contacted via phone (760) 256-1227.

Contact Information

Primary practice address
705 E Virginia Way Suite F Barstow CA 92311-3978
Fax: (760) 256-1239
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A053608 California

Profile Details

NPI number 1952360539
LBN Legal business name Basa, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 3rd, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952360539 NPPES
California MEDICAID 00A536080
California Other P00060825

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