| Diana Basanese, PT, DPT | |
|
350 Posada Ln, 103, Templeton, CA 93465-4061 | |
| (805) 434-2050 | |
| (805) 434-0065 |
| Full Name | Diana Basanese |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 350 Posada Ln, Templeton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013155878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 35322 (California) | Primary |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Basanese, PT, DPT 805 Aerovista Pl, 201, San Luis Obispo, CA 93401-7919 Ph: (805) 788-0805 | Diana Basanese, PT, DPT 350 Posada Ln, 103, Templeton, CA 93465-4061 Ph: (805) 434-2050 |
Kalahan T Slette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln, Suite 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Allison Gary, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0665 | |
Laura Louise Rose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln, Suite 103, Templeton, CA 93465 Phone: 805-434-0065 Fax: 805-434-2050 | |
Jason Scott Sanders, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln, Suite103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Kara R Dolny, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0065 | |
Michael Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Posada Ln Ste 103, Templeton, CA 93465 Phone: 805-434-2050 Fax: 805-434-0665 |