Healthcare Provider Details

I. General information

NPI: 1043156490
Provider Name (Legal Business Name): BILET BABASI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16320 ROSCOE BLVD STE 100
VAN NUYS CA
91406-1216
US

IV. Provider business mailing address

24283 VERDUGO CIR
VALENCIA CA
91354-4400
US

V. Phone/Fax

Practice location:
  • Phone: 818-904-6782
  • Fax:
Mailing address:
  • Phone: 661-600-2817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: