MR. DAVID MENDIOLA BASCO III NURSE PRACTITIONER
NPI 1790413920
Nurse Practitioner - Family in Sacramento, CA
About Mr. David Mendiola Basco Iii Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID MENDIOLA BASCO III NURSE PRACTITIONER (NPI 1790413920) is an individual family provider in Sacramento, California, licensed in California (95022230) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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
Mr. David Mendiola Basco Iii Nurse Practitioner 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 Reassignments
4Medicare enrollment records show David Basco reassigns Medicare billing to 4 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
- 2,570 clinicians in this Medicare group
Sacramento, CA 95825
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95816 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
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 David Basco's NPI number?
The NPI number for David Basco is 1790413920. It was assigned to this individual provider in the NPPES registry on August 15, 2022.
Where is David Basco located?
David Basco practices at 3301 C St Ste 1500, Sacramento, CA 95816. The listed phone number is (916) 734-7463.
What is David Basco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is David Basco enrolled in Medicare?
Yes. David Basco 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 organizations bill Medicare for David Basco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Basco reassigns Medicare benefits to 4 organizations: Regents Of The Univ Of Ca (Sacramento, CA), Active Life Wound Clinic A Professional Nursing Corporation (Sacramento, CA), Molina Healthcare Of California (Lancaster, CA) and Central Health Plan Of California, Inc. (Diamond Bar, 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 David Basco'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 David Basco was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. David Mendiola Basco III, NURSE PRACTITIONER · NPI 1790413920
Family physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since August 15, 2022.
## Identity
- **NPI:** 1790413920 (Entity type: Individual)
- **Enumerated:** August 15, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022230 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3301 C ST STE 1500, Sacramento, CA 95816-3371
- **Phone:** (916) 734-7463 · **Fax:** (916) 734-6493
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Regents Of The Univ Of Ca (NPI 1043208945, Sacramento, CA); Active Life Wound Clinic A Professional Nursing Corporation (NPI 1801253323, Sacramento, CA); Molina Healthcare Of California (NPI 1508970955, Lancaster, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790413920) · Data from the CMS NPPES public registry.