Bass Medical Group
Organization Active NPI Pain Medicine Physician · Visalia, CA
NPI 1326409343 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1326409343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- BASS MEDICAL GROUP
- Practice address
- 5127 W Noble Ave
Visalia, CA 93291 - Phone
- (559) 713-6515
- Fax
- (559) 713-6516
- NPI assigned
- Mar 18, 2016
- Organization subpart
- No
Authorized official
- Name
- Inez Wondeh
- Title
- Ceo
- Phone
- (925) 378-4512
Practitioners 206
-
Joy Marie Ackles, FNP
-
Siddhartha Agrawal, M.D.
-
Omar Al-Shuwaykh, M.D
-
David G Alonso, MD
-
Anita Anand, NP
-
Omar Amer Araim, M.D.
-
Jennifer Avise, MD
-
Jorge R Bernett, M.D.
-
Valy Boulom, M.D.
-
Moses Leon Britt, NP
-
Matthew Campbell, M.D.
-
Morgan Anne Carmean, ARNP
-
Diana Caudillo, FNP
National Provider Directory
Locations
1000 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-9770
7031 Koll Center Pkwy
Ste 105
Pleasanton, CA 94566
2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320
2637 Shadelands Dr
Ste A
Walnut Creek, CA 94598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
5127 W Noble Ave
Visalia, CA 93291
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 627-3424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7360010007 | Other | MEDICARE NCS |
Other providers in Visalia, CA
- Rita Susan Barron
- Yasser William Barsoum
- Kellie Bartlett
- Deanne Adele Barton
- Naile Barzaga Hazrati
- Quetzali Basulto Suarez
- Andrea R. Bates
- Eric O. Batista Sr.
- Lillian Hajna Batizy
- Manivanh M Baum
All providers in Visalia, CA · Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.