NPIMap

Organization Active NPI

Tsilya Bass MD Inc.

  • Psychiatry Physician
  • N Hollywood, CA
National Provider Identifier
1669506549
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A63630 Issued in CA
Legal business name
TSILYA BASS MD INC.
Practice address
11631 Victory Blvd
Ste 103
N Hollywood, CA 91606-3572
Phone
(818) 762-3116
Fax
(818) 985-7923
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Tsilya Bass, M.D.NPI 1841330800
Title
Phisician
Phone
(818) 762-3116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X A63630 CA Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X A63630 CA

Addresses

Primary practice location

11631 Victory Blvd
Ste 103
N Hollywood, CA 91606-3572

Mailing address

11631 Victory Blvd Ste 103
N Hollywood, CA 91606-3572
Phone (818) 762-3116

Other identifiers 1

IdentifierTypeStateIssuer
00A636301MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Tsilya Bass MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1669506549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11631 VICTORY BLVD STE 103",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063572",
            "telephone_number": "818-762-3116",
            "fax_number": "818-985-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 VICTORY BLVD",
            "address_2": "STE 103",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063572",
            "telephone_number": "818-762-3116",
            "fax_number": "818-985-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSILYA BASS MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "TSILYA",
        "authorized_official_title_or_position": "PHISICIAN",
        "authorized_official_telephone_number": "818-762-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A63630",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A63630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A636301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.