ANTONIOUS BASTA DO
NPI 1558065656
Emergency Medicine in Roseville, CA
About Antonious Basta Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIOUS BASTA DO (NPI 1558065656) is an individual emergency medicine provider in Roseville, California, licensed in California (20A23384) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antonious Basta Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Antonious Basta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Arroyo Grande, CA 93420
- Reassigned Medicare billing, California enrollment
- 1,204 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 95661 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Antonious Basta's NPI number?
The NPI number for Antonious Basta is 1558065656. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Antonious Basta located?
Antonious Basta practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 781-1000.
What is Antonious Basta's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Antonious Basta enrolled in Medicare?
Yes. Antonious Basta is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Antonious Basta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonious Basta reassigns Medicare benefits to 2 organizations: Sutter Medical Foundation (Sacramento, CA) and Cep America - California (Arroyo Grande, CA). Each 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 Antonious Basta'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 Antonious Basta was last updated on September 11, 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.
# Antonious Basta, DO · NPI 1558065656
Emergency Medicine physician in Roseville, California. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1558065656 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 20A23384 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 MEDICAL PLAZA DR, Roseville, CA 95661-3037
- **Phone:** (916) 781-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Cep America - California (NPI 1548216260, Arroyo Grande, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558065656) · Data from the CMS NPPES public registry.