Individual provider Active NPI

Troy Bassiri, MD

  • Family Medicine Physician
  • Hoopa, CA
National Provider Identifier
1316475643
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A188536 Issued in CA
Practice address
535 Airport Rd
Hoopa, CA 95546-9615
Phone
(530) 625-4261
Fax
(530) 625-5171
NPI assigned
May 31, 2017
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S5841 TX
Family Medicine Physician 207Q00000X A188536 CA Primary

Addresses

Primary practice location

535 Airport Rd
Hoopa, CA 95546-9615

Mailing address

535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261

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
I20230925002432 CA Practitioner - Family Practice 3870861255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kima-W Medical CenterGroup PAC ID 5496740698, 21 clinicians

Practice addresses (Care Compare)

535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A188536CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K'Ima:W Medical Center CurrentSince Aug 8, 2023 Accepting new patients
K'Ima:W Medical Center CurrentSince Aug 8, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1316475643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 AIRPORT RD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955469615",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 AIRPORT RD",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955469615",
            "telephone_number": "530-625-4261",
            "fax_number": "530-625-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSIRI",
        "first_name": "TROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S5841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A188536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoopa, CA

Sources for this page

Verify at the official NPI Registry.