DR. MICHAEL PERRY BASS (NPI# 1487751962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487751962 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PERRY BASS |
| Credential | M.D. |
| Practice Address |
515 Michigan Blvd West Sacramento CA 95691-2705 |
| Practice Telephone | 9163680816 |
| Practice Fax Number | 9164692273 |
| Mailing Telephone | 9163680816 |
| Mailing Fax Number | 9164692273 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | C32503 | CA | Other Service Providers |
| N | 207T00000X | Neurological Surgery | C32503 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | C32503 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP'S PTAN HJ036A | GROUP'S PTAN HJ036A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669823563 | Michael David Bass | General Practice | 3708 Cibolo Ct, Pearland, TX 77584-3974 | 2016-06-22 |
| 1952664559 | Michael Ray Bass | Counselor | 13016 Amarillo Ave, Austin, TX 78729-7537 | 2012-06-19 |
| 1841451580 | Michael H Bass | Internal Medicine | 2600 Glasgow Ave Ste 106, Newark, DE 19702-5703 | 2008-06-24 |
| 1497756902 | Michael Bass | Dentist | 80 Phoenix Ave, Suite #102, Waterbury, CT 06702-1418 | 2005-08-09 |
| 1932763984 | Michael David Bass | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2019-04-25 |
| 1336343938 | Michael J Bass | Plastic Surgery | 216 Fountain Court, Suite 160, Lexington, KY 40509 | 2007-06-14 |
| 1336179910 | Michael T Bass | Obstetrics & Gynecology | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-07-03 |
| 1780612515 | Michael E Bass | Dentist | 1031 W Williams St, Suite 101, Apex, NC 27502-3955 | 2006-06-29 |
| Street Address |
515 MICHIGAN BLVD |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95691-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295198224 | Ngozi Evelyn Nwokedi | Nurse Practitioner | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2016-03-29 |
| 1285975060 | Live Well Medical Center Inc. | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2013-03-05 |
| 1598066748 | Greater Sacramento Med Clinic | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2010-11-04 |
| 1346484409 | Razia Y. Forte | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2009-04-20 |
| 1467591636 | Augusto Sychukok | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298545 | Breanna Lenae Garcia | Registered Nurse | 980 Central Street, Apartment 312, West Sacramento, CA 95691 | 2019-07-26 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1699187823 | Eugene Louis | Pharmacist | 1601 1/2 West Capital Ave., West Sacramento, CA 95691 | 2014-05-22 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1831207059 | Norman Gary Larsen | Physical Therapist | 3680 Industrial Blvd, #550h Us Health Works Med Group, West Sacramento, CA 95691 | 2006-08-28 |
| 1093790305 | Nancy Warden | Pediatrics | 1276 Halyard Dr, West Sacramento, CA 95691 | 2005-12-08 |
| Find all providers in zip 95691 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023354826 | Gordon T Ma | General Practice | 1459 Fernwood St, West Sacramento, CA 95691-3626 | 2012-12-25 |
| 1992072706 | Gaing Wing Chan | General Practice | 1144 Park Cir, West Sacramento, CA 95691-3744 | 2011-11-22 |
| 1457872517 | Elica Health Centers- Harbor Medical Center | General Practice | 804 Harbor Blvd, West Sacramento, CA 95691 | 2017-06-29 |
| 1285975060 | Live Well Medical Center Inc. | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2013-03-05 |
| 1598066748 | Greater Sacramento Med Clinic | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2010-11-04 |
| 1346484409 | Razia Y. Forte | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2009-04-20 |
| 1467591636 | Augusto Sychukok | General Practice | 515 Michigan Blvd, West Sacramento, CA 95691-2705 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95691 |
Please comment or provide details below to improve the information on DR. MICHAEL PERRY BASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.