ANTONIOUS BASTA DO
NPI 1558065656
Emergency Medicine in Roseville, CA

Q: 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.

Q: What is Antonious Basta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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 22 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.

Active since March 30, 2023PECOS Enrolled

1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Mar 30, 2023 (2 updates tracked since 2023).

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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

NPI1558065656

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameANTONIOUS BASTACredential: DO

Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037

Mailing Address25922 Spencer CtCalabasas, CA 91302-3167 · (818) 917-7128

Phone(916) 781-1000

Sole ProprietorYes

Enumeration DateMarch 30, 2023

Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1558065656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · 20A23384

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 MEDICAL PLAZA DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonious Basta Do 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.

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.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program