Individual provider Active NPI

Damian Jeremy Bass, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1992791099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25092 Issued in AZ
Practice address
6370 W Union Hills Dr
Glendale, AZ 85308-7136
Phone
(623) 414-3500
Fax
(623) 455-9214
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25092 AZ Primary

Addresses

Primary practice location

6370 W Union Hills Dr
Glendale, AZ 85308-7136

Mailing address

6370 W Union Hills Dr
Glendale, AZ 85308-7136
Phone (623) 414-3500

Other identifiers 1

IdentifierTypeStateIssuer
424284MedicaidAZ

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040831001272 AZ Practitioner - Obstetrics/Gynecology 1759356967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Un of California, Irvine, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Apr 22, 2019 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

18699 N 67th Ave
Ste 320
Glendale, AZ 85308
Phone (623) 412-3100

2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600

4864 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 467-2145

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

8410 W Thomas Rd
Ste 138
Phoenix, AZ 85037
Phone (602) 266-2272

10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: damian.bass.1@20219.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992791099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087136",
            "telephone_number": "623-414-3500",
            "fax_number": "623-455-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087136",
            "telephone_number": "623-414-3500",
            "fax_number": "623-455-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "DAMIAN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "25092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424284",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.