NPIMap

Organization Active NPI

Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
National Provider Identifier
1467329904
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 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
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 12

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330438Focusedmd, a Division of Bass Medical Group12677 Alcosta Boulevard Suite 175, San Ramon, CA 94583Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bass Medical Group22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations (25 of 55)

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

2400 Balfour Rd
Ste 302
Brentwood, CA 94513
Phone (925) 285-2649

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

2339 Almond Ave
Concord, CA 94520
Phone (925) 687-6111

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

2485 High School Ave
Ste 311
Concord, CA 94520
Phone (925) 682-7730

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

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

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

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

1646 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 490-0234

901 Sunset Dr
Ste 1
Hollister, CA 95023
Phone (831) 637-1655

901 Sunset Dr
Ste 3
Hollister, CA 95023
Phone (831) 636-3116

14651 S Bascom Ave
Ste 240
Los Gatos, CA 95032
Phone (408) 356-7706

16360 Monterey Rd
Ste 280
Morgan Hill, CA 95037
Phone (408) 825-1333

18181 Butterfield Blvd
Ste 180B
Morgan Hill, CA 95037

3443 Villa Ln
Ste 3
Napa, CA 94558
Phone (707) 226-2031

1970 Mountain Blvd
Oakland, CA 94611
Phone (510) 984-2489

555 Middlefield Rd
Ste 101
Palo Alto, CA 94301
Phone (650) 512-4456

2324 Santa Rita Rd
Ste 6
Pleasanton, CA 94566
Phone (925) 462-8100

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

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

68 Hartnell Ave
Redding, CA 96002
Phone (530) 399-1200

Practitioners & affiliated clinicians

Practitioners 444

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 444

NPI Registry JSON

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

{
    "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": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.