SAM BASTA
NPI 1174092506
Technician - Attendant Care Provider in Los Angeles, CA

Active since November 14, 2018
3757 KELTON AVE APT 211, LOS ANGELES, CA 90034(310) 465-6019 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam Basta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM BASTA (NPI 1174092506) is an individual attendant care provider provider in Los Angeles, California and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1174092506
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameSAM BASTA
Location Address3757 KELTON AVE APT 211Los Angeles, CA 90034-7135
Mailing Address3757 Kelton Ave Apt 211Los Angeles, CA 90034-7135
Sole ProprietorNo
Enumeration DateNovember 14, 2018
NPI 1174092506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
3757 KELTON AVE APT 211, Los Angeles, CA 90034

Other Identifiers 1

Medicaid473411858CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Basta's NPI number?

The NPI number for Sam Basta is 1174092506. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Sam Basta located?

Sam Basta practices at 3757 Kelton Ave Apt 211, Los Angeles, CA 90034. The listed phone number is (310) 465-6019.

What is Sam Basta's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Sam Basta was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.