FAWZY BASTA M D A PROFESSIONAL CORPORATION
NPI 1508932500
Psychiatry & Neurology - Psychiatry in Northridge, CA
About Fawzy Basta M D A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAWZY BASTA M D A PROFESSIONAL CORPORATION (NPI 1508932500) is a healthcare organization registered as a psychiatry in Northridge, California and active in the NPI registry since November 2006. The organization lists Fawzy Samy Basta, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fawzy Basta M D A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Fawzy Basta M D A Professional Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fawzy Basta M D A Professional Corporation's NPI number?
The NPI number for Fawzy Basta M D A Professional Corporation is 1508932500. It was assigned to this organization in the NPPES registry on November 28, 2006.
Where is Fawzy Basta M D A Professional Corporation located?
Fawzy Basta M D A Professional Corporation is located at 17075 Devonshire St Suite 204, Northridge, CA 91325. The listed phone number is (818) 368-8929.
What is Fawzy Basta M D A Professional Corporation's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Fawzy Basta M D A Professional Corporation enrolled in Medicare?
Yes. Fawzy Basta M D A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fawzy Basta M D A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Fawzy Basta M D A Professional Corporation. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fawzy Basta M D A Professional Corporation was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fawzy Basta M D A Professional Corporation · NPI 1508932500
Psychiatry organization in Northridge, California. Organization record, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1508932500 (Entity type: Organization)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Fawzy Basta, OWNER
## Practice location
- **Address:** 17075 DEVONSHIRE ST, SUITE 204, Northridge, CA 91325-1600
- **Phone:** (818) 368-8929 · **Fax:** (818) 368-8720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Psychiatry (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508932500) · Data from the CMS NPPES public registry.