HomeNPI Verification

NPI Verification

National Provider Identifier: 1043741911

Jacob Basilius, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

200 S MANCHESTER AVE STE 300

ORANGE, CA 928683219

Phone: 714-456-2986

NPI Enumeration Date

March 23, 2017

NPI Number

1043741911

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry