NPI

Johanna V Basa

NPI 1821326380

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2009-11-21
Last updated
2018-09-12

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Specialties

Licenses

License CA
A136671

Location

Practice location
520 E Foothill Blvd Ste C
City
Pomona CA
Postal code
91767-1200
Phone
(909) 398-4835

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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