Dr. Fawzy Samy Basta Sr., MD
Dr. Fawzy Samy Basta Sr., MD practises 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.
Practice location Address checks out
17075 Devonshire St Ste 204Northridge, CA 91325-5408 Not confirmed with CMS for 14 years — call before visiting
Phone: (818) 368-8929
Fax: (818) 368-8940
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1043394505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | January 20, 2012 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 1978 (48 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 750 |
|---|---|
| Services billed | 2,085 |
| Average patient age | 73 |
Payments from drug and device companies, 2025
| Compensation for services other than consulting | $21,125 |
|---|---|
| Consulting Fee | $5,200 |
| Food and Beverage | $4,796 |
| Travel and Lodging | $1,438 |
| Education | $127 |
Practises at
- Southern California Hospital At Hollywood Hospital · Hollywood, CA · listed as Southern California Healthcare System, Inc
- Providence Holy Cross Medical Center Hospital · Mission Hills, CA
Other providers in Northridge
-
Abul H. Shirazi, MD, Inc
9849 Melvin Ave, Northridge, CA 91324-1636 · (818) 372-0656
-
Ams Neuro Group Inc
9846 White Oak Ave Ste 202, Northridge, CA 91325-4806 · (747) 232-4283
-
Andrea Best
9650 Zelzah Ave, Northridge, CA 91325-2003 · (818) 993-9311
-
Comprehensive Behavioral Care California
9451 Corbin Ave Ste 100, Northridge, CA 91324 · (800) 321-2843
-
Ericka Marie Ellison I
17075 Devonshire St Ste 204, Northridge, CA 91325-5408 · (661) 373-6735
-
Dr. Hassan Salah Farrag, MD
17075 Devonshire St Ste 204, Northridge, CA 91325-1600 · (818) 368-8929