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MS. MIRANDA NABIL BASSILIOS PA C
NPI 1609831114
Physician Assistant in Oakland, CA

Active since April 18, 2006PECOS Enrolled
365 HAWTHORNE AVE, SUITE 301, OAKLAND, CA 94609(510) 893-1700(510) 893-0110 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Miranda Nabil Bassilios Pa C NPPES

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

MS. MIRANDA NABIL BASSILIOS PA C (NPI 1609831114) is an individual physician assistant in Oakland, California, licensed in California (PA15948) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609831114
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MIRANDA NABIL BASSILIOSCredential: PA C
Location Address365 HAWTHORNE AVE, SUITE 301Oakland, CA 94609-3107
Mailing Address365 Hawthorne Ave, Suite 301Oakland, CA 94609-3107 · (510) 893-1700 · Fax (510) 893-0110
Phone(510) 893-1700
Fax(510) 893-0110
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1609831114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15948
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
365 HAWTHORNE AVE, Oakland, CA 94609
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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)

Ms. Miranda Nabil Bassilios Pa C 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 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

MR. HON FONG MD
Obstetrics & Gynecology (Gynecology)
365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609
Alameda County (510) 893-1700
ERIC L JOHNSON MD
Internal Medicine (Interventional Cardiology)
365 HAWTHORNE AVE, #201
OAKLAND, CA 94609
Alameda County (510) 452-1345
AARON PETERS PA-C
Physician Assistant (Surgical)
365 HAWTHORNE AVE
OAKLAND, CA 94609
Alameda County (510) 465-5523
AJAY KUMAR UPADHYAY MD
Surgery
365 HAWTHORNE AVE, STE 101
OAKLAND, CA 94609
Alameda County (510) 465-5523
RUPERT ROUPEN HOROUPIAN MD
Surgery
365 HAWTHORNE AVE, SUITE 101
OAKLAND, CA 94609
Alameda County (510) 465-5523
MR. THOMAS LEE HAMBRICK MD
Obstetrics & Gynecology
365 HAWTHORNE AVE, SUITE 301
OAKLAND, CA 94609
Alameda County (510) 893-1700
MR. EDWARD MARTIN BLUMENSTOCK MD
Obstetrics & Gynecology
365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609
Alameda County (510) 893-1700
MS. GOLDEE HANNAH GROSS MD
Obstetrics & Gynecology
365 HAWTHORNE AVE, STE 301
OAKLAND, CA 94609
Alameda County (510) 893-1700

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 Miranda Bassilios's NPI number?

The NPI number for Miranda Bassilios is 1609831114. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Miranda Bassilios located?

Miranda Bassilios practices at 365 Hawthorne Ave Suite 301, Oakland, CA 94609. The listed phone number is (510) 893-1700.

What is Miranda Bassilios's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Miranda Bassilios enrolled in Medicare?

Yes. Miranda Bassilios is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Bassilios was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.