Active NPI
Basso Podiatry Group, Inc
- Podiatrist
- Davis, CA
National Provider Identifier
1841851201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- BASSO PODIATRY GROUP, INC
- Practice address
- 635 Anderson Rd Ste 19
Davis, CA 95616-3505 - Phone
- (530) 758-1810
- NPI assigned
- Jun 26, 2019
- Last updated
- Jul 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Potter
- Title
- Credentialing Manager
- Phone
- (916) 846-9454
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
635 Anderson Rd Ste 19
Davis, CA 95616-3505
Mailing address
635 Anderson Rd Ste 19
Davis, CA 95616-3505
Phone (530) 758-1810
Other practice location 1
340 Taraval St
San Francisco, CA 94116-1953
Phone (415) 681-2208
Other practice location 2
500 University Ave Ste 120
Sacramento, CA 95825-6524
Phone (916) 922-3668
Other practice location 3
618 S Main St
Willits, CA 95490-3912
Phone (707) 459-2464
Other practice location 4
2281 Cleveland Ave
Santa Rosa, CA 95403-2905
Phone (707) 544-3337
Other practice location 5
1712 Picasso Ave Ste C
Davis, CA 95618-0546
Phone (530) 753-6280
Other practice location 6
7601 Hospital Dr Ste 202
Sacramento, CA 95823-5408
Phone (916) 688-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7501 Hospital Dr
Ste 303
Sacramento, CA 95823
Phone (916) 688-8008
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Podiatrist
- Davis, CA
- NPI 1235135427
-
- Foot & Ankle Surgery Podiatrist
- Davis, CA
- NPI 1467984096
-
- Foot & Ankle Surgery Podiatrist
- Davis, CA
- NPI 1598259509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1841851201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ANDERSON RD STE 19",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "530-758-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 ANDERSON RD STE 19",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163505",
"telephone_number": "530-758-1810"
}
],
"practiceLocations": [
{
"address_1": "340 Taraval St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941161953",
"country_code": "US",
"telephone_number": "415-681-2208",
"fax_number": "415-665-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 University Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958256524",
"country_code": "US",
"telephone_number": "916-922-3668",
"fax_number": "916-922-3636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 S Main St",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954903912",
"country_code": "US",
"telephone_number": "707-459-2464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2281 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954032905",
"country_code": "US",
"telephone_number": "707-544-3337",
"fax_number": "707-544-0608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1712 Picasso Ave Ste C",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956180546",
"country_code": "US",
"telephone_number": "530-753-6280",
"fax_number": "530-753-6281",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Hospital Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958235408",
"country_code": "US",
"telephone_number": "916-688-8008",
"fax_number": "916-688-8010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BASSO PODIATRY GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-26",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "916-846-9454"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.