NPIMap

Individual provider Active NPI

Prasert Basil Vassantachart, MD

  • General Practice Physician
  • Alhambra, CA
National Provider Identifier
1295720050
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G44008 Issued in CA
Practice address
841 W Valley Blvd
Suite 104
Alhambra, CA 91803-3251
Phone
(626) 282-3113
Fax
(626) 289-9179
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G44008 CA Primary

Addresses

Primary practice location

841 W Valley Blvd
Suite 104
Alhambra, CA 91803-3251

Mailing address

841 W Valley Blvd
Suite 104
Alhambra, CA 91803-3251
Phone (626) 282-3113

Other identifiers 1

IdentifierTypeStateIssuer
00G440080MedicaidCA

Other names 1

  • Dr. Basil P Vassantachart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001876 CA Practitioner - General Practice 1254501869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Loma Linda University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

841 W Valley Blvd
Suite 104
Alhambra, CA 91803-3251
Phone (626) 282-3113

Hospital & facility affiliations

  • Bradbourne Healthcare, Inc Home health agency, Covina, CA, CCN 058217
  • Comfort Quest Hospice, Inc. Hospice, Covina, CA, CCN D61550
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44008CAMDPharmacist
G44008CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physicians Medical Group, Inc. CurrentSince Jan 1, 1973 Accepting new patients
Dignity Health Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

841 W Valley Blvd
Ste 104
Alhambra, CA 91803
Phone (626) 282-3113

168 W Badillo St
Covina, CA 91723
Phone (626) 533-0854

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: basil.vassantachart.p58@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 4

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 6

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1295720050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W VALLEY BLVD",
            "address_2": "SUITE 104",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033251",
            "telephone_number": "626-282-3113",
            "fax_number": "626-289-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 W VALLEY BLVD",
            "address_2": "SUITE 104",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033251",
            "telephone_number": "626-282-3113",
            "fax_number": "626-289-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSANTACHART",
        "first_name": "PRASERT",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G44008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G440080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASIL",
            "last_name": "VASSANTACHART",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.