Organization Active NPI

Jeremy S. Bass, M.D., a Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Agoura Hills, CA
National Provider Identifier
1497688154
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JEREMY S. BASS, M.D., A MEDICAL CORPORATION
Practice address
28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942
Phone
(805) 815-6777
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dr. Jeremy S Bass, MD
Title
Owner
Phone
(805) 815-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942

Mailing address

28310 Roadside Dr Ste 218
Agoura Hills, CA 91301-4942
Phone (805) 815-6777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1497688154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 218",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014942",
            "telephone_number": "805-815-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 218",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014942",
            "telephone_number": "805-815-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY S. BASS, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-815-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.