NPIMap

Bass Medical Group

Organization Active NPI Orthopaedic Surgery Physician · San Ramon, CA

NPI 1467329904 · NPPES record last updated Oct 20, 2025

Key facts

NPI
1467329904
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
BASS MEDICAL GROUP
Practice address
12677 Alcosta Blvd Ste 180
San Ramon, CA 94583-4423
Phone
(925) 464-1982
Fax
(925) 464-2042
NPI assigned
Oct 20, 2025
Organization subpart
No

Authorized official

Name
Inez Wondeh
Title
Coo
Phone
(925) 948-8154

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 446

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 446

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330438Focusedmd, a Division of Bass Medical Group
12677 Alcosta Boulevard Suite 175, San Ramon, CA 94583		Certificate of waiverSep 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260114002466 CA DME Supplier - Physician - Podiatry 9032111281 Practice locations: San Ramon, CA

National Provider Directory

Tax ID family
Bass Medical Group (22 organizations share this tax ID)

Locations (25 of 46)

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

2400 Balfour Rd
Ste 300
Brentwood, CA 94513
Phone (925) 705-4493

2438 N Ponderosa Dr
Ste C110
Camarillo, CA 93010
Phone (805) 484-5929

564 Rio Lindo Ave
Ste 100
Chico, CA 95926
Phone (530) 767-3300

564 Rio Lindo Ave
Ste 102
Chico, CA 95926
Phone (530) 965-9265

2485 High School Ave
Ste 218
Concord, CA 94520
Phone (510) 241-2274

20555 Prospect Rd
Cupertino, CA 95014
Phone (408) 996-1603

295 89th St
Ste 205
Daly City, CA 94015
Phone (510) 241-2273

3424 Camino Tassajara
Danville, CA 94506
Phone (925) 309-2700

4165 Blackhawk Plaza Cir
Ste 140
Danville, CA 94506
Phone (510) 447-1330

905 San Ramon Valley Blvd
Ste 206
Danville, CA 94526
Phone (925) 831-9200

901 San Ramon Valley Blvd
Ste 232
Danville, CA 94526
Phone (925) 831-9200

1555 Webster St
Ste E
Fairfield, CA 94533
Phone (707) 226-2031

243 Green Valley Rd
Ste B
Freedom, CA 95019
Phone (831) 724-9449

6061 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 284-8550

581 McCray St
Ste F
Hollister, CA 95023
Phone (831) 636-3338

18181 Butterfield Blvd
Ste 180B
Morgan Hill, CA 95037

525 South Dr
Ste 107
Mountain View, CA 94040
Phone (408) 238-8353

5 Financial Plz
Ste 118
Napa, CA 94558
Phone (707) 266-7051

3300 Webster St
Ste 103
Oakland, CA 94609
Phone (510) 455-2699

2260 Gladstone Dr
Ste 5
Pittsburg, CA 94565
Phone (925) 427-0203

2324 Santa Rita Rd
Ste 8
Pleasanton, CA 94566
Phone (210) 263-3300

515 W Morton Ave
Porterville, CA 93257
Phone (559) 627-2849

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

774 N Prospect St
Ste B
Porterville, CA 93257
Phone (559) 627-2849

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

12677 Alcosta Blvd Ste 180
San Ramon, CA 94583-4423

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 627-3424

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2025.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1467329904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-627-3424",
            "fax_number": "925-627-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 ALCOSTA BLVD STE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834423",
            "telephone_number": "925-464-1982",
            "fax_number": "925-464-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WONDEH",
        "authorized_official_first_name": "INEZ",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "925-948-8154"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

All providers in San Ramon, CA · Orthopaedic Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.