Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fawzy Basta M D a Professional Corporation

Organization Psychiatry Physician · NPI 1508932500

Fawzy Basta M D a Professional Corporation is a Psychiatry Physician in Northridge, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

17075 Devonshire St Ste 204
Northridge, CA 91325-1600
Phone: (818) 368-8929
Fax: (818) 368-8720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A42961 (CA)

Record details

NPI number1508932500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawzy Basta — Owner · (818) 368-8929
NPI enumeratedNovember 28, 2006
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address17075 Devonshire St, Suite 204, Northridge, CA 91325-1600

Other providers in Northridge