NPIMap

Organization Active NPI

Bass Medical Group

  • Orthopaedic Surgery Physician
  • Los Altos, CA
National Provider Identifier
1790544567
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BASS MEDICAL GROUP
Practice address
763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400
Phone
(408) 356-0444
Fax
(408) 358-5125
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BASS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Paula Hewitt
Title
Enrollment Coordinator
Phone
(925) 378-4512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

763 Altos Oaks Dr Ste 2
Los Altos, CA 94024-5400

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 627-3424

Other names 1

  • Advanced Sports Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Sleep Diagnostics Inc22 organizations share this tax ID, including this one
Part of
Advanced Sleep Diagnostics Inc

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1790544567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-627-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 ALTOS OAKS DR STE 2",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245400",
            "telephone_number": "408-356-0444",
            "fax_number": "408-358-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BASS MEDICAL GROUP",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "925-378-4512"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Sports Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.