Antonious Basta, DO
Emergency Medicine in Roseville, CA. Individual provider (NPI-1).
NPI number1558065656
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1558065656
- Entity type
- Individual (NPI-1)
- Name
- Antonious Basta
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2023
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A23384 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Medical Plaza DrRoseville, CA 95661-3037
Phone 916-781-1000
Mailing address
25922 Spencer CtCalabasas, CA 91302-3167
Phone 818-917-7128
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All 61 Emergency Medicine Physician providers in Roseville · All 6,478 providers in Roseville
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