Organization Active NPI

Vascular Institute of Northern California, a Podiatry Corporation

  • Vascular Surgery Physician
  • Sacramento, CA
National Provider Identifier
1932691797
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION
Practice address
500 University Ave Ste 250
Sacramento, CA 95825-6525
Phone
(916) 235-9100
Fax
(916) 680-9550
NPI assigned
Jun 6, 2018
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Tracy L BassoNPI 1235135427
Title
Owner
Phone
(916) 235-9100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

500 University Ave Ste 250
Sacramento, CA 95825-6525

Mailing address

635 Anderson Rd Ste 4
Davis, CA 95616-3505
Phone (530) 979-6226

Other practice location 1

6450 Coyle Ave Ste 5
Carmichael, CA 95608-0313
Phone (916) 235-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815002153 CA Part B Supplier - Clinic/Group Practice 5698024222 Receives reassigned benefits from 4 practitioners
Practice locations: Carmichael, CA; Sacramento, CA

National Provider Directory

National Provider Directory

Locations

6450 Coyle Ave
Ste 5
Carmichael, CA 95608
Phone (916) 235-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFCCD

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1932691797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD STE 4",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-979-6226",
            "fax_number": "530-758-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256525",
            "telephone_number": "916-235-9100",
            "fax_number": "916-680-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 Coyle Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080313",
            "country_code": "US",
            "telephone_number": "916-235-9100",
            "fax_number": "916-680-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "BASSO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-235-9100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.

Verify at the official NPI Registry.