Sofronio A. Basical, MD
Pediatrics in Riverside, CA. Individual provider (NPI-1).
NPI number1508933425
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1508933425
- Entity type
- Individual (NPI-1)
- Name
- Sofronio A. Basical
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Nov 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | G79124 | CA | Yes |
Practice location
10800 Magnolia AveRiverside, CA 92505-3043
Phone 909-353-2000
Mailing address
10800 Magnolia AveRiverside, CA 92505-3043
Phone 909-353-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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