NPIMap

Organization Active NPI

Bass Medical Group

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1154401941
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A78168 Issued in CA
Legal business name
BASS MEDICAL GROUP
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 932-6330
Fax
(925) 932-0139
NPI assigned
Oct 16, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

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
Specialist 174400000X A78168 CA Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Other names 1

  • Bay Area Surgical Specialists Inc A Medical Corporation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000181 CA Part B Supplier - Clinic/Group Practice 9032111281 Receives reassigned benefits from 425 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 128)

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3903 Lone Tree Way
Antioch, CA 94509
Phone (510) 538-8889

7700 Morro Rd
Atascadero, CA 93422
Phone (805) 466-6622

3000 Colby St
Ste 20
Berkeley, CA 94705

3010 Colby St
Berkeley, CA 94705
Phone (510) 204-2500

3100 San Pablo Ave
#420
Berkeley, CA 94702
Phone (510) 985-5020

100 Cortona Way
Brentwood, CA 94513

2400 Balfour Rd
Ste 105
Brentwood, CA 94513

2400 Balfour Rd
Ste 250
Brentwood, CA 94513

350 John Muir Pkwy
Ste 175
Brentwood, CA 94513
Phone (925) 685-7400

350 John Muir Pkwy
Ste 245
Brentwood, CA 94513
Phone (925) 240-2101

6600 Lone Tree Way
Ste A
Brentwood, CA 94513

2165 S Bascom Ave
Ste A
Campbell, CA 95008

19845 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 538-5500

564 Rio Lindo Ave
Ste 102
Chico, CA 95926
Phone (530) 965-9265

2222 East St
Ste 250
Concord, CA 94520
Phone (925) 609-7220

2222 East St
Ste 30
Concord, CA 94520

2415 High School Ave
Ste 300
Concord, CA 94520
Phone (925) 676-8101

2485 High School Ave
Concord, CA 94520
Phone (925) 680-0144

2485 High School Ave
#13
Concord, CA 94520

2700 Grant St
Ste 104
Concord, CA 94520
Phone (925) 685-7400

295 89th St
Ste 205
Daly City, CA 94015
Phone (510) 241-2273

1320 El Capitan Dr
Ste 320
Danville, CA 94526
Phone (925) 866-2100

1320 El Capitan Dr
Ste 400
Danville, CA 94526
Phone (925) 277-1600

4165 Blackhawk Plaza Cir
Danville, CA 94506
Phone (925) 648-7144

Practitioners & affiliated clinicians

Practitioners 613

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.

View all 613

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1154401941",
    "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": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-932-6330",
            "fax_number": "925-932-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "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": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A78168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Surgical Specialists Inc A Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.