DR. MICHAEL PERRY BASS M.D. NPI 1487751962

NPI Information

NPI: 1487751962
Provider Name: DR. MICHAEL PERRY BASS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
515 MICHIGAN BLVD
WEST SACRAMENTO, CA
ZIP 95691
Phone: (916) 368-0816
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DR. Michael Perry Bass, M.D. is a general practice in West Sacramento, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Michael Perry Bass, M.D. NPI is 1487751962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

515 MICHIGAN BLVD
WEST SACRAMENTO, CA
ZIP 95691-705
Phone: (916) 368-0816
Fax: (916) 469-2273

The enumeration date for this NPI number is 9/19/2006 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	173000000X	Legal Medicine	C32503	CALIFORNIA	No
2	207T00000X	Neurological Surgery	C32503	CALIFORNIA	No
3	208D00000X	General Practice	C32503	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PTAN FJ658Y	MEDICARE PIN	CALIFORNIA
2	ZZZ03418Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP MEDICARE ID NUMBER
3	GROUP'S PTAN HJ036A	OTHER	CALIFORNIA	GROUP'S PTAN HJ036A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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