Tracy Lee Basso, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E36260 Issued in CA

Practice address

635 Anderson Rd
Ste 19
Davis, CA 95616-3505

Phone

(530) 758-1810

Fax

(530) 758-1896

NPI assigned

Jun 22, 2005

Last updated

May 23, 2022By 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 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basso Podiatry Group IncGroup PAC ID 3577894682, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGFCCD
• FHIR API: https://fhir4.healow.com/fhir/r4/AICDCD/Endpoint/AICDCD
• FHIR API: https://fhir4.healow.com/fhir/r4/JFFCCD
• Direct secure messaging: tbassodpm19312@hisp.ehr.sutterhealth.org

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.

• Basso Podiatry Group, Inc

  • Podiatrist
  • Davis, CA
  • NPI 1841851201
  Medicare reassignment Care Compare group NPD
• Vascular Institute of Northern California, a Podiatry Corporation

  • Vascular Surgery Physician
  • Sacramento, CA
  • NPI 1932691797
  Medicare reassignment NPD Authorized official
• Vascular Institute of North Texas, PLLC

  • Vascular Surgery Physician
  • Bedford, TX
  • NPI 1265085229
  NPD (past) Authorized official
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1235135427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD",
            "address_2": "STE 19",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-758-1810",
            "fax_number": "530-758-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD",
            "address_2": "STE 19",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-758-1810",
            "fax_number": "530-758-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Picasso Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956180546",
            "country_code": "US",
            "telephone_number": "530-753-6280",
            "fax_number": "530-753-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSO",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E36260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brinnley Meredith Barthels, DMD
• James Barton
• Jennie Lee Basarich, LMFT
• Basso Podiatry Group, Inc
• Michael Tracy Basso, DPM
• Minthra Kaur Bath
• Edwin Emmanuel Batte, M.D.
• Lisa Marie Baumeister, MD
• Reymond Carbonell Bautista, DMD
• John Allen Baxter, M.D.

• Podiatrist in Davis, CA
• Providers in Davis, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.