Individual provider Active NPI

Sunny Bassi

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1407237118
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002585 Issued in CA
Practice address
805 12TH St
Modesto, CA 95354-2333
Phone
(209) 491-8745
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002585 CA Primary

Addresses

Primary practice location

805 12TH St
Modesto, CA 95354-2333

Mailing address

805 12TH St
Modesto, CA 95354-2333
Phone (209) 491-8745

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822001792 CA Practitioner - Nurse Practitioner 2860754652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Main St
Livingston, CA 95334-1257

621 Cherrywood Way
Livingston, CA 95334-9209

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince Jun 8, 2025 Accepting new patients
Lumira Healthcare CurrentSince Jun 8, 2025 Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients
Lumira Healthcare Past Accepting new patients

Locations

16233 King St
Delhi, CA 95315
Phone (209) 394-7913

7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

1617 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Livingston, CA 95334
Phone (209) 850-3500

12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200

Interoperability endpoints

  • Direct secure messaging: sonny.bassi.p1@direct.castle.nextgenshare.com
  • Direct secure messaging: sunny.bassi.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 5

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 1

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1407237118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542333",
            "telephone_number": "209-491-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542333",
            "telephone_number": "209-491-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSI",
        "first_name": "SUNNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.