Basso-Williams 11 Blade of California, PC
Organization Active NPI Orthopaedic Surgery Physician · Brawley, CA
NPI 1497300628 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1497300628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BASSO-WILLIAMS 11 BLADE OF CALIFORNIA, PC
- Practice address
- 207 W Legion Rd
Brawley, CA 92227-7780 - Phone
- (760) 351-3333
- NPI assigned
- Aug 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Basso-Williams, DO
- Title
- Director
- Phone
- (209) 956-7732
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
207 W Legion Rd
Brawley, CA 92227-7780
Mailing address
PO Box 840027
Los Angeles, CA 90084-0027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316200967 | Medicaid | CA |
Other providers in Brawley, CA
- Shirish K Balachandra
- Barnes Orthopedic National Enterprises of California, PC
- Donald Lee Barniske
- Baron and Baron Medical Corporation
- Jasmin Bartolome
- Bee L Beard
- Emilia Beas
- Lina Ivett Beas
- Osagie Bello
- Michael Dean Berger
All providers in Brawley, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.