Individual provider Active NPI

Tsilya Bass, M.D.

  • Psychiatry Physician
  • West Hollywood, CA
National Provider Identifier
1841330800
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A63630 Issued in CA
Practice address
1111 N Fairfax Ave Ste 109
West Hollywood, CA 90046-5363
Phone
(323) 876-1500
Fax
(323) 876-1515
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A63630 CA
Psychiatry Physician 2084P0800X A63630 CA Primary

Addresses

Primary practice location

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

Mailing address

1111 N Fairfax Ave Ste 109
West Hollywood, CA 90046-5363
Phone (323) 876-1500

Other identifiers 1

IdentifierTypeStateIssuer
00A636300MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbassmd@sbcglobal.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000563 CA Practitioner - PsychiatryPractitioner - General Practice 7315991916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1111 N Fairfax Ave
Suite 109
West Hollywood, CA 90046-5363
Phone (323) 876-1500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63630CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tsilya Bass MD Inc Psychiatry CurrentSince Mar 12, 1998 Accepting new patients
Tsilya Bass MD Inc. Psychiatry Current Accepting new patients

Locations

7807 W Sunset Blvd
Los Angeles, CA 90046
Phone (323) 876-1500

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

1111 N Fairfax Ave
Ste 109
West Hollywood, CA 90046
Phone (323) 876-1500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
X L Care, Inc.Woodland Hills, CA, CCN 058236 Home health agency Contracted Managing Employee Dec 2, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1841330800",
    "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": {
        "last_name": "BASS",
        "first_name": "TSILYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A63630",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A63630",
            "primary": true
        }
    ],
    "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": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.