NPIMap

Organization Active NPI

Bass Medical Group

  • Orthopaedic Hand Surgery Physician
  • San Jose, CA
National Provider Identifier
1477027050
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
BASS MEDICAL GROUP
Practice address
2430 Samaritan Dr
San Jose, CA 95124-3907
Phone
(408) 358-3555
Fax
(408) 358-3505
NPI assigned
Jan 16, 2019
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BASS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Rajiv Nagesetty, MDNPI 1689786840
Title
Authorized Official
Phone
(925) 932-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Orthopaedic Hand Surgery Physician 207XS0106X NU Primary

Addresses

Primary practice location

2430 Samaritan Dr
San Jose, CA 95124-3907

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213002095 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032111281 Practice locations: San Jose, CA

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory
Tax ID family
Advanced Sleep Diagnostics Inc22 organizations share this tax ID, including this one
Part of
Advanced Sleep Diagnostics Inc

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1477027050",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-358-3555",
            "fax_number": "408-358-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BASS MEDICAL GROUP",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "NAGESETTY",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "925-932-6330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.