Bass Medical Group

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

BASS MEDICAL GROUP

Practice address

2 Fifer Ave Ste 130
Corte Madera, CA 94925-1174

Phone

(925) 287-1256

Fax

(925) 287-0913

NPI assigned

Jan 16, 2019

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BASS MEDICAL GROUPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajiv Nagesetty, MDNPI 1689786840

Title

Authorized Official

Phone

(925) 932-6330

Specialties & licenses 1

Addresses

Part of

Advanced Sleep Diagnostics Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajiv Nagesetty, MD

  • Vascular Surgery Physician
  • Walnut Creek, CA
  • NPI 1689786840
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1073087755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE STE 130",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251174",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BASS MEDICAL GROUP",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "NAGESETTY",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "925-932-6330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Andras Barat, ASW
• Suzanne Renee Barbour, M.S.,CCC
• Matthew Baron
• Sergio Baroni, LCSW
• Scott Barshack, M.D.
• Carl Ira Baum, MD
• Bay Area Hand Therapy
• Bay Area MHC Psychology PC (Bridge to Bridge Psychotherapy Group)
• Brian Beaudoin, PT
• Alina Belohlavek

• Pain Medicine Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.