Individual provider Active NPI

Samson Bassey Bassey

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1578377644
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024095860 Issued in CA
Practice address
2830 W 235TH St Apt 4
Torrance, CA 90505-4130
Phone
(310) 415-9153
NPI assigned
Feb 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024095860 CA Primary

Addresses

Primary practice location

2830 W 235TH St Apt 4
Torrance, CA 90505-4130

Mailing address

2830 W 235TH St Apt 4
Torrance, CA 90505-4130
Phone (310) 415-9153

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327003441 CA Practitioner - Nurse Practitioner 2567947526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024095860CAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1578377644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 W 235TH ST APT 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054130",
            "telephone_number": "310-415-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 W 235TH ST APT 4",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054130",
            "telephone_number": "310-415-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEY",
        "first_name": "SAMSON",
        "middle_name": "BASSEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2024095860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.