MARINA BASSILI
NPI 1619319100
Psychologist - Clinical Child & Adolescent in Huntington Beach, CA
About Marina Bassili NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA BASSILI (NPI 1619319100) is an individual clinical child & adolescent provider in Huntington Beach, California, licensed in California (PSY18709) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
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
Marina Bassili 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 Marina Bassili 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92648
HUNTINGTON BEACH, CA 92648
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 Marina Bassili's NPI number?
The NPI number for Marina Bassili is 1619319100. It was assigned to this individual provider in the NPPES registry on July 24, 2013.
Where is Marina Bassili located?
Marina Bassili practices at 2124 Main St, Huntington Beach, CA 92648. The listed phone number is (714) 536-0077.
What is Marina Bassili's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.
Is Marina Bassili enrolled in Medicare?
Yes. Marina Bassili 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 Marina Bassili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marina Bassili 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 Marina Bassili'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 Marina Bassili was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Marina Bassili · NPI 1619319100
Clinical Child & Adolescent provider in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since July 24, 2013.
## Identity
- **NPI:** 1619319100 (Entity type: Individual)
- **Enumerated:** July 24, 2013
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **State license:** PSY18709 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2124 MAIN ST, Huntington Beach, CA 92648-2405
- **Phone:** (714) 536-0077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **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:** Loma Linda University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 24, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1619319100) · Data from the CMS NPPES public registry.