Provider Demographics
NPI:1871037721
Name:BASIS TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:BASIS TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IOSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:BASIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-672-7395
Mailing Address - Street 1:139 MITCHELL AVE
Mailing Address - Street 2:101
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-6019
Mailing Address - Country:US
Mailing Address - Phone:415-672-7395
Mailing Address - Fax:
Practice Address - Street 1:139 MITCHELL AVE
Practice Address - Street 2:101
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-6019
Practice Address - Country:US
Practice Address - Phone:415-672-7395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)