Tsilya Bass MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A63630 Issued in CA

Legal business name

TSILYA BASS MD INC

Practice address

1111 N Fairfax Ave Ste 109
West Hollywood, CA 90046-5363

Phone

(323) 876-1500

Fax

(323) 876-1515

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Tsilya Bass, M.D.NPI 1841330800

Title

Phisician

Phone

(323) 876-1500

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Tsilya Bass MD Inc.

  • Psychiatry Physician
  • N Hollywood, CA
  • NPI 1669506549
  NPD tax ID

Locations

Practitioners 1

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.

• Tsilya Bass, M.D.

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1841330800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1669507273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N FAIRFAX AVE STE 109",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465363",
            "telephone_number": "323-876-1500",
            "fax_number": "323-876-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N FAIRFAX AVE STE 109",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465363",
            "telephone_number": "323-876-1500",
            "fax_number": "323-876-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSILYA BASS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "TSILYA",
        "authorized_official_title_or_position": "PHISICIAN",
        "authorized_official_telephone_number": "323-876-1500",
        "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": "00A636300",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbassmd@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1111 N Fairfax Ave Ste 109",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900465363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Tsai
• Kevin Tsai, MD
• Margaret Tsai, DPT
• Vivian Tsang, PHARM.D.
• David Tseng, MD
• Karen Tsung
• Lyubov Vyacheslavovna Tsytsikova, MD
• Eleain Ming Tu, M.D.
• Katherine Cody Tucker, MSW
• Michael Panganiban Tulio, M.D.

• Psychiatry Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.