Organization Active NPI

Bass Chiropractic Professional Corp

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1629587555
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BASS CHIROPRACTIC PROFESSIONAL CORP
Practice address
8455 Beverly Blvd Ste 505
Los Angeles, CA 90048-3445
Phone
(323) 944-0773
NPI assigned
Sep 22, 2017
Last updated
Jan 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Marissa Nicole Bass, D.C.NPI 1558629808
Title
Owner/Chiropractor
Phone
(323) 944-0773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

8455 Beverly Blvd Ste 505
Los Angeles, CA 90048-3445

Mailing address

PO Box 1176
Cardiff, CA 92007-7176
Phone (858) 509-7999

Other identifiers 1

IdentifierTypeStateIssuer
DC31978OtherCACHIRO LICENSE

National Provider Directory

National Provider Directory

Locations

371 N La Cienega Blvd
West Hollywood, CA 90048
Phone (310) 659-1959

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1629587555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 BEVERLY BLVD STE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483445",
            "telephone_number": "323-944-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS CHIROPRACTIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "323-944-0773",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO LICENSE",
            "identifier": "DC31978",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.