Ryan Basham, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00A121146 Issued in CA

Practice address

212 Oak Meadow Dr
Los Gatos, CA 95032-4407

Phone

(408) 354-4740

NPI assigned

Jun 30, 2008

Last updated

Feb 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Creighton University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Eye Physicians a Medical CorporationGroup PAC ID 2961459094, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.11 of 100Reported as group

Quality

88.99

Improvement activities

40

Cost

71.73

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Eye Physicians, a Medical Corporation

  • Ophthalmology Physician
  • Cupertino, CA
  • NPI 1487601522
  Medicare reassignment Care Compare group NPD
• Basham Eye, Inc.

  • Ophthalmology Physician
  • Los Gatos, CA
  • NPI 1669975082
  Authorized official Same address or phone
• Ryan P. Basham MD

  dba Basham Eye Associates

  • Ophthalmology Physician
  • Los Gatos, CA
  • NPI 1134528607
  NPD (past) Authorized official
• Spectrum Eye Physicians, a Medical Corporation

  dba Spectrum Eye Physicians

  • Eyewear Supplier
  • San Jose, CA
  • NPI 1891046298

  Ophthalmology

  NPD
• Dignity Health

  dba Dominican Hospital

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007

  Ophthalmology

  NPD (past)
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  NPD (past)
• Hazel Hawkins Memorial Hospital

  dba San Benito Health Care District

  • General Acute Care Hospital
  • Hollister, CA
  • NPI 1275578817
  NPD (past)
• Lucile Salter Packard Children's Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1467442749
  NPD (past)
• Stanford Health Care

  dba Stanford Medical Center A Trade Name for Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)
• Stanford Hospital and Clinics

  dba SHC Reference Laboratory

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)
• Watsonville Hospital Corporation

  dba Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1710958228
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1083876098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-354-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OAK MEADOW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324407",
            "telephone_number": "408-354-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125054496",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00A121146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Bartel, M.S., BCBA
• Julia Barten, DR OF PHYS THERAPY
• Julie Barto, COTA
• Basham Eye, Inc.
• Elizabeth D Basham, M.D.
• Anna Basore, DPT
• Jefferson Augusto Bastidas, M.D.
• Brittney Batista
• Michael Brandon Baule, DO
• Thea Lorrize Bautista

• Ophthalmology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.