Mary E Bassham

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

12387 Issued in CA

Practice address

3130 S Harbor Blvd
250
Santa Ana, CA 92704-6824

Phone

(714) 619-8777

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hospice Touch, Inc.

  • Community Based Hospice Care Agency
  • Costa Mesa, CA
  • NPI 1497758593
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861565012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10827 KANE AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041825",
            "telephone_number": "562-944-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HARBOR BLVD",
            "address_2": "250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046824",
            "telephone_number": "714-619-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSHAM",
        "first_name": "MARY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "12387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Basart, MS, CCC-SLP
• Danielle Basco
• Ashkon Bashkar
• Elysa Brooke Basquez
• Katalin J Bassett, MD
• Yalen Bastida
• Kailey Bastidas
• Adriana Leticia Basurco, RN, PHN
• Talita Basus
• Brian Daniel Batchelder, LCSW

• Adult Health Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.