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GRACIOUS K BASA FNP
NPI 1649555939
Nurse Practitioner - Family in Murrieta, CA

Active since October 18, 2011
41670 IVY ST SUITE B, MURRIETA, CA 92562(951) 600-7702(951) 600-5987 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gracious K Basa Fnp NPPES

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

GRACIOUS K BASA FNP (NPI 1649555939) is an individual family provider in Murrieta, California, licensed in California (20961) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1649555939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACIOUS K BASACredential: FNP
Location Address41670 IVY ST SUITE BMurrieta, CA 92562-1707
Mailing Address41670 Ivy St Suite BMurrieta, CA 92562-1707 · (951) 600-7702 · Fax (951) 600-5987
Phone(951) 600-7702
Fax(951) 600-5987
Sole ProprietorYes
Enumeration DateOctober 18, 2011
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1649555939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 20961
41670 IVY ST SUITE B, Murrieta, CA 92562
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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 Gracious Basa's NPI number?

The NPI number for Gracious Basa is 1649555939. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Where is Gracious Basa located?

Gracious Basa practices at 41670 Ivy St Suite B, Murrieta, CA 92562. The listed phone number is (951) 600-7702.

What is Gracious Basa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Gracious Basa was last updated on February 8, 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.