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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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": []
}
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- Aryan Jamali
- James F. Mulick, DDS, Inc
- Maria Jan, MD
- Jerold T. Litoff, a Professional Corp.
- Jie Ji
- Tracy Still Jimenez, M.P.H., R.D.
- Joelle Abed Elahad Dental Corp
- John M. Abajian DDS a Dental Corporation
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.