Bassam George Saffouri, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A417150 Issued in CA

Practice address

320 Dardanelli Lane
Ste 25B
Los Gatos, CA 95032-1419

Phone

(408) 370-7801

Fax

(408) 370-1175

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Virginia Commonwealth University, School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  NPD (past)
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1992758973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LANE",
            "address_2": "STE 25B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-370-7801",
            "fax_number": "408-370-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LANE",
            "address_2": "STE 25B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-370-7801",
            "fax_number": "408-370-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFOURI",
        "first_name": "BASSAM",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A417150",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A417150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Addison Sabes, DPT
• Sahar Sadeghi
• Amanda Jane Sadler
• Safeway Inc
• Safeway Inc
• Anjali Sagdeo, M.D.
• Manoj Saini
• Aivaras Sajus
• Mayra Luz Salazar- Prado
• Cesar Maximilian Salazar

• Gastroenterology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.