NPIMap

Organization Active NPI

Bass Medical Group

  • Internal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1265971063
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BASS MEDICAL GROUP
Practice address
108 La Casa Via
Suite 100
Walnut Creek, CA 94598-3013
Phone
(925) 930-9120
Fax
(925) 930-9122
NPI assigned
Feb 14, 2017
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

108 La Casa Via
Suite 100
Walnut Creek, CA 94598-3013

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 948-8143

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1265971063",
    "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",
            "telephone_number": "925-948-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-930-9120",
            "fax_number": "925-930-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2024; 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.