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

Leopoldo Mario Basilico, MD

Individual provider Internal Medicine Physician · NPI 1538480603

Leopoldo Mario Basilico, MD is an Internal Medicine in Roseville, California. Qualified in 2010, 16 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
Specialties on file
2
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

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone: (916) 733-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1224 Trotwood Ave, Columbia, TN 38401-4802 — (931) 381-1111

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A152830 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A152830 (CA)

Record details

NPI number1538480603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2010
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roseville