Janeine Tiu Basconcillo

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A153935 Issued in CA

Practice address

1200 Discovery Dr
Bakersfield, CA 93309-7032

Phone

(661) 328-9831

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Janeine A Tiu Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Bakersfield, CA
  • NPI 1861424376
  NPD

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1538566534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DISCOVERY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097032",
            "telephone_number": "661-328-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DISCOVERY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097032",
            "telephone_number": "661-328-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCONCILLO",
        "first_name": "JANEINE",
        "middle_name": "TIU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A153935",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEINE",
            "last_name": "TIU",
            "middle_name": "A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ismael Joson Bartolome, PT
• Maria Albania Bartolome
• Kyle James Barton
• Alta Grace Uytico Baruiz, M.D.
• Dwight William Bascom
• Shazia Bashir, FNP
• Bhavni Basraon
• Carolyn Jane Bass
• Sydny Rose Bass
• Jadon Batario

• Obstetrics & Gynecology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.