MEDICARE: STEFANIE BASSO CPT CNS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist	2717254	CA

General Provider Information

NPI Number	:	1114644267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE BASSO CPT CNS, MS

Provider Business Mailing Address
First Line	:	4225 PORTE DE MERANO UNIT 92
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1935
Country	:	US
Telephone Number	:	808-226-2113
Fax Number	:

Provider Business Practice Location Address
First Line	:	6612 MISSION GORGE RD STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-2346
Country	:	US
Telephone Number	:	808-226-2113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

Similar Medicare Providers

1932130473 — MARC LEWIS D.C.
Practice Location Address:

6612 MISSION GORGE RD , SUITE B
SAN DIEGO, CA
92120-2346

Practice Phone: 619-282-8181
Practice Fax: 619-282-8205

1003561267 — DR. WILLIAM BRETT MASON JR.
Practice Location Address:

6612 MISSION GORGE RD STE B
SAN DIEGO, CA
92120-2346

Practice Phone: 619-282-8181
Practice Fax:

1942386859 — MRS. ALISSA ANN CARNELIAN MS
Practice Location Address:

4227 MARYLAND ST APT 7
SAN DIEGO, CA
92103-2346

Practice Phone: 520-955-0016
Practice Fax: 877-240-8624

1114148079 — DR. TOURAN DAVOUDI D.D.S
Practice Location Address:

5450 CLAIREMONT MESA BLVD , SUITE C
SAN DIEGO, CA
92117-2346

Practice Phone: 858-503-6789
Practice Fax: 858-503-6790

1073734729 — TOURAN DAVOUDI DDS DENTAL CO.
Practice Location Address:

5450 CLAIREMONT MESA BLVD , SUITE C
SAN DIEGO, CA
92117-2346

Practice Phone: 858-503-6789
Practice Fax:

1508139072 — JEFFREY H GOLD OD
Practice Location Address:

5450 CLAIREMONT MESA BLVD , STE D
SAN DIEGO, CA
92117-2346

Practice Phone: 858-292-1700
Practice Fax: 858-292-1986

Directions to “ STEFANIE BASSO CPT CNS, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.