BASANTA KC NP
NPI 1366954620
Nurse Practitioner - Family in Cerritos, CA
About Basanta Kc Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BASANTA KC NP (NPI 1366954620) is an individual family provider in Cerritos, California, licensed in California (95006273) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Basanta Kc Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Basanta Kc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CERRITOS, CA 90703
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 Basanta Kc's NPI number?
The NPI number for Basanta Kc is 1366954620. It was assigned to this individual provider in the NPPES registry on October 26, 2017.
Where is Basanta Kc located?
Basanta Kc practices at 12750 Center Court Dr S Ste 650, Cerritos, CA 90703. The listed phone number is (323) 628-8671.
What is Basanta Kc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Basanta Kc enrolled in Medicare?
Yes. Basanta Kc 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.
Which organization bills Medicare for Basanta Kc's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Basanta Kc reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Basanta Kc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Basanta Kc was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Basanta Kc, NP · NPI 1366954620
Family physician in Cerritos, California. Individual provider, active in the CMS NPPES registry since October 26, 2017.
## Identity
- **NPI:** 1366954620 (Entity type: Individual)
- **Enumerated:** October 26, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006273 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12750 CENTER COURT DR S STE 650, Cerritos, CA 90703-8569
- **Phone:** (323) 628-8671
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366954620) · Data from the CMS NPPES public registry.