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

Dr. Fawzy Samy Basta Sr., MD

Individual provider Psychiatry Physician · NPI 1043394505

Dr. Fawzy Samy Basta Sr., MD is a Psychiatry in Northridge, California. Qualified in 1978, 48 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
48
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17075 Devonshire St Ste 204
Northridge, CA 91325-5408
Phone: (818) 368-8929
Fax: (818) 368-8940
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 number1043394505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 20, 2012

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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