Bass Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BASS MEDICAL GROUP

Practice address

2180 W Grant Line Rd Ste 100
Tracy, CA 95377-7343

Phone

(925) 463-0470

NPI assigned

May 3, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Inez Wondeh

Title

Ceo

Phone

(925) 948-8143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1831888114",
    "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": "925-637-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W GRANT LINE RD STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777343",
            "telephone_number": "925-463-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WONDEH",
        "authorized_official_first_name": "INEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-948-8143"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Joseph Barrios Jr., MS
• Veronica Barroga, OTR
• Mercedes C Bartlow
• Marichris Lee Bartolo
• Aryanne Basa
• Kyla Bassard
• Jaspreet Bassi
• Amandeep Batra
• Tripti Bawari, PSYD
• Emily Ann Becker, OT/R

• Specialist in Tracy, CA
• Providers in Tracy, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.