Individual provider Active NPI

Jeffrey C. Bassett, M.D., M.P.H.

  • Urology Physician
  • Newport Beach, CA
National Provider Identifier
1174718399
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A104448 Issued in CA
Practice address
1525 Superior Ave Ste 210
Newport Beach, CA 92663-3656
Phone
(949) 999-8979
Fax
(949) 999-8970
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD48762 TN
Urology Physician 208800000X MD-46040 IA
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X A104448 CA Primary

Addresses

Primary practice location

1525 Superior Ave Ste 210
Newport Beach, CA 92663-3656

Mailing address

1525 Superior Ave Ste 210
Newport Beach, CA 92663-3656
Phone (949) 999-8979

Other practice location 1

5950 University Ave Ste 341
West Des Moines, IA 50266-8289
Phone (515) 875-9800

Other practice location 2

3430 E La Palma Ave
Anaheim, CA 92806
Phone (888) 988-2800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141008001969 CA Practitioner - Urology 3678720224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16105 Sand Canyon Ave
Irvine, CA 92618-3780
Phone (949) 764-4060

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104448CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Jun 1, 2020 Accepting new patients
Javidan Urology, Inc Urology CurrentSince Feb 15, 2019 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

6600 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 245-2444

16105 Sand Canyon Ave
Ste 260
Irvine, CA 92618
Phone (949) 642-1361

510 Superior Ave
Newport Beach, CA 92663
Phone (800) 400-4624

510 Superior Ave
Ste F
Newport Beach, CA 92663
Phone (949) 999-8979

1525 Superior Ave
Ste 210
Newport Beach, CA 92663
Phone (949) 722-3555

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1174718399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633656",
            "telephone_number": "949-999-8979",
            "fax_number": "949-999-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633656",
            "telephone_number": "949-999-8979",
            "fax_number": "949-999-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 University Ave Ste 341",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502668289",
            "country_code": "US",
            "telephone_number": "515-875-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 E La Palma Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92806",
            "country_code": "US",
            "telephone_number": "888-988-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD48762",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-46040",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A104448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.