Organization Active NPI

Bassam Sinno MD a Medical Corporation

  • Psychiatry Physician
  • Encinitas, CA
National Provider Identifier
1861676108
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BASSAM SINNO MD A MEDICAL CORPORATION
Practice address
477 N El Camino Real
B301
Encinitas, CA 92024-1328
Phone
(760) 633-3139
Fax
(760) 635-5632
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Bassam Ahmad Sinno, M.DNPI 1982767893
Title
Psychiatrist
Phone
(760) 633-3139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

477 N El Camino Real
B301
Encinitas, CA 92024-1328

Mailing address

477 N El Camino Real
B301
Encinitas, CA 92024-1328
Phone (760) 633-3139

Other identifiers 1

IdentifierTypeStateIssuer
00C378310MedicaidCA

National Provider Directory

National Provider Directory

Locations

477 N El Camino Real
Ste B301
Encinitas, CA 92024
Phone (760) 633-3060

1011 Devonshire Dr
Ste D
Encinitas, CA 92024
Phone (760) 633-3139

701 Garden View Ct
Ste 19
Encinitas, CA 92024
Phone (760) 633-3139

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1861676108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "B301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-633-3139",
            "fax_number": "760-635-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "B301",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-633-3139",
            "fax_number": "760-635-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM SINNO MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SINNO",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "760-633-3139",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C378310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.