Live Well Medical Center Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C32503 Issued in CA

Legal business name

LIVE WELL MEDICAL CENTER INC.

Practice address

515 Michigan Blvd
West Sacramento, CA 95691-2705

Phone

(916) 368-0816

NPI assigned

Mar 5, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael P Bass, M.D.NPI 1487751962

Title

Owner

Phone

(916) 368-0816

Specialties & licenses 1

Addresses

Locations

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.

• Michael Perry Bass, M.D.

  • General Practice Physician
  • West Sacramento, CA
  • NPI 1487751962
  Authorized official Same address or phone

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285975060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912705",
            "telephone_number": "916-368-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912705",
            "telephone_number": "916-368-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Mills Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956704711",
            "country_code": "US",
            "telephone_number": "916-363-8888",
            "fax_number": "916-469-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-368-0816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C32503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Ellen Lindgren, RN,PHN, CREDSCHNURSE
• Sorren Lindstrom
• Ashley Linstrom
• Alice Liu-Nguyen
• Bo Liu
• Sue Lomax
• Ming Fok Looi, NP
• Denise Lopez, DDS
• Heidi Vanessa Lopez
• Alayde Rocio Loredo Contreras, PA

• General Practice Physician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.