NPIMap

Organization Active NPI

Bass Medical Group

  • Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1811479504
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BASS MEDICAL GROUP
Practice address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone
(925) 948-8154
NPI assigned
Aug 30, 2018
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BASS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Rajiv Nagesetty, MDNPI 1689786840
Title
Authorized Official
Phone
(925) 948-8154

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Other names 1

  • BASS Medical Group Urgent Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070201000181 CA Part B Supplier - Clinic/Group Practice 9032111281 Receives reassigned benefits from 425 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20190806001870 CA DME Supplier - Physician - General PracticeDME Supplier - Physician - PodiatryDME Supplier - Sleep Laboratory/Medicine 9032111281 Practice locations: Walnut Creek, CA

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

Locations

3300 Webster St
Ste 710
Oakland, CA 94609
Phone (510) 465-5800

575 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 378-4512

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1811479504",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-948-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BASS MEDICAL GROUP",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "NAGESETTY",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "925-948-8154",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASS Medical Group Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.