Organization Active NPI

Ryan P. Basham MD

  • Ophthalmology Physician
  • Los Gatos, CA
National Provider Identifier
1134528607
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RYAN P. BASHAM MD
Practice address
212 Oak Meadow Dr
Los Gatos, CA 95032-4407
Phone
(408) 354-4740
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Ryan P Basham, MDNPI 1083876098
Title
Owner
Phone
(408) 354-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X CA Primary

Addresses

Primary practice location

212 Oak Meadow Dr
Los Gatos, CA 95032-4407

Mailing address

212 Oak Meadow Dr
Los Gatos, CA 95032-4407
Phone (408) 354-4740

Other names 1

  • Basham Eye Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1134528607",
    "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": {
        "organization_name": "RYAN P. BASHAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "BASHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-354-4740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basham Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.