Active NPI
Vascular Institute of Northern California, a Podiatry Corporation
- Vascular Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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, 2024
- 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
- Dr. Tracy L Basso
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
6450 Coyle Ave
Ste 5
Carmichael, CA 95608
Phone (916) 235-9100
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Sacramento, CA
- NPI 1316646847
-
- Podiatrist
- Davis, CA
- NPI 1235135427
-
- Interventional Cardiology Physician
- Sacramento, CA
- NPI 1417117581
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.