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

Basanta Kc, NP

Individual provider Family Nurse Practitioner · NPI 1366954620

Basanta Kc, NP is a Nurse Practitioner in Cerritos, California. Qualified in 2016, 10 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Connecticut, New Hampshire and Rhode Island.

Years since qualifying
10
Licensed in
CA, CT, NH, RI
In the registry since
2017
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12750 Center Court Dr S Ste 650
Cerritos, CA 90703-8569
Phone: (323) 628-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 — (323) 628-8671
  • 16404 Colima Rd, Hacienda Heights, CA 91745-5502 — (626) 581-8330

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95006273 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11286 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 088676-23 (NH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN03136 (RI)

Record details

NPI number1366954620
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 26, 2017
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address16143 Woodbrier Dr, Whittier, CA 90604-3764

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cerritos