Active NPI
Tsilya Bass, M.D.
- Psychiatry Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A63630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A636300 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63630 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsilya Bass MD Inc | Psychiatry | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| X L Care, Inc. | 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.
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1669507273
-
- Psychiatry Physician
- N Hollywood, CA
- NPI 1669506549
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
- 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.