ASTA IAH BAISA RN, PHN, FNP-C
NPI 1295210953
Nurse Practitioner - Family in San Ramon, CA

Active since September 28, 2018PECOS EnrolledAccepts Medicare Assignment
2455 SAN RAMON VALLEY BLVD, SAN RAMON, CA 94583(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2018, Sep 28, 2018 (2 updates tracked since 2018).

About Asta Iah Baisa Rn, Phn, Fnp-c NPPES

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

ASTA IAH BAISA RN, PHN, FNP-C (NPI 1295210953) is an individual family provider in San Ramon, California, licensed in California (95008367) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295210953
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASTA IAH BAISACredential: RN, PHN, FNP-C
Location Address2455 SAN RAMON VALLEY BLVDSan Ramon, CA 94583-1601
Mailing Address2806 Marina Blvd Apt 4San Leandro, CA 94577-4048 · (510) 967-6703
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 28, 2018
Last NPPES UpdateOctober 24, 20182 updates tracked since enumeration
NPI 1295210953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95008367
Also ListedRegistered NurseTaxonomy 163W00000X · License 95086184 (CA)
2455 SAN RAMON VALLEY BLVD, San Ramon, CA 94583

Other Names 1

Former Name (1)Asta Iah Haman-dicko

Secondary Practice Location 1

Location 19925 International Blvd Ste 5Oakland, CA 94603-2558 · Phone (510) 777-1177

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Asta Iah Baisa Rn, Phn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799020434
PECOS Enrollment IDI20181227000777
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Pharmacist
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Pharmacy
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Nurse Practitioner (Family)
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Nurse Practitioner (Family)
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Nurse Practitioner (Family)
2455 SAN RAMON VALLEY BLVD, CVS MINUTE CLINIC # 9868
SAN RAMON, CA 94583
Nurse Practitioner (Family)
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Nurse Practitioner (Family)
2455 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583

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 Asta Baisa's NPI number?

The NPI number for Asta Baisa is 1295210953. It was assigned to this individual provider in the NPPES registry on September 28, 2018. The provider is also known as Asta Iah Haman-Dicko.

Where is Asta Baisa located?

Asta Baisa practices at 2455 San Ramon Valley Blvd, San Ramon, CA 94583. The listed phone number is (866) 389-2727.

What is Asta Baisa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Asta Baisa enrolled in Medicare?

Yes. Asta Baisa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Asta Baisa was last updated on October 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.