KENAN SALEH BASHA
NPI 1306738208
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since July 16, 2025PECOS Enrolled
4601 DALE RD, MODESTO, CA 95356(209) 735-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenan Saleh Basha NPPES

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

KENAN SALEH BASHA (NPI 1306738208) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306738208
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENAN SALEH BASHA
Location Address4601 DALE RDModesto, CA 95356-9718
Mailing Address4601 Dale RdModesto, CA 95356-9718
Sole ProprietorNo
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1306738208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4601 DALE RD, Modesto, CA 95356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenan Saleh Basha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Student in an Organized Health Care Education/Training Program
4601 DALE RD
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Surgery
4601 DALE RD, SUITE 4A5
MODESTO, CA 95356
Internal Medicine (Gastroenterology)
4601 DALE RD
MODESTO, CA 95356
Respiratory Therapist, Registered
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356

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 Kenan Saleh Basha's NPI number?

The NPI number for Kenan Saleh Basha is 1306738208. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Kenan Saleh Basha located?

Kenan Saleh Basha practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.

What is Kenan Saleh Basha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenan Saleh Basha enrolled in Medicare?

Yes. Kenan Saleh Basha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenan Saleh Basha was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.