Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Shyrell Basa, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1356739767

Marie Shyrell Basa, FNP-BC is a Nurse Practitioner in Fountain Valley, California. Qualified in 2014, 12 years ago. Practices with Family Practice Associates of Carson Medical Group Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Phone: (714) 546-6575
Fax: (714) 551-9411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 673060 (CA)

Record details

NPI number1356739767
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMarch 9, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Family Practice Associates Of Carson Medical Group Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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