Lawrence J Bass, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C34793 Issued in CA

Practice address

5340 Elvas Avenue
Suite 600
Sacramento, CA 95819-2385

Phone

(916) 739-1505

Fax

(916) 739-1426

NPI assigned

Oct 14, 2006

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1447340849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 ELVAS AVENUE",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192385",
            "telephone_number": "916-739-1505",
            "fax_number": "916-739-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 ELVAS AVENUE",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192385",
            "telephone_number": "916-739-1505",
            "fax_number": "916-739-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C34793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajene Bass
• Andrea Leticia Bass
• Ayesha Nicole Bass
• Dwight R. Bass, M.D.
• Halina Bass
• Lisa Bass
• Angela Marie Bassal, MD
• Frederick C Bassal, D.O.
• Kalynn Margaret Bassett
• Peggy J Bassett

• Dermatology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.