DR. JOHN LEE BASS (NPI# 1801235320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801235320 |
| Entity Type | Individual |
| Full Name | DR. JOHN LEE BASS |
| Credential | NP, CNS, PHD |
| Practice Address |
1010 Murray Ave Trauma & Emergency Surgery, Svrmc San Luis Obispo CA 93405-1806 |
| Mailing Address |
Trauma & Emergency Surgery - 1010 Murray Ave. Sierra Vista Regional Medical Center San Luis Obipso CA 93405 |
| Practice Telephone | 8055467821 |
| Mailing Telephone | 8055467821 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
14574 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
2723 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562143 | John Wesley Bass | Clinic/Center | 2398 E. Camelback Rd, 980, Phoenix, AZ 85016 | 2010-12-02 |
| 1912075367 | John Marshall Bass | Dentist | 212 N Mecklenburg Ave, South Hill, VA 23970-2048 | 2006-12-02 |
| 1851464465 | John W Bass Jr. | Pharmacist | 4121 Halifax Road, South Boston, VA 24592 | 2006-11-15 |
| 1891757571 | John Robert Bass | Dentist | 13500 Otter Creek Pkwy, Little Rock, AR 72210-5792 | 2006-04-06 |
| 1346803418 | John D Bass | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-04-15 |
| 1255724274 | John Browning Bass | Emergency Medicine | 4076 Neely Rd, Fairbanks, AK 99703 | 2015-03-16 |
| 1134404213 | John Christopher Bass | Pharmacist | 301 W Main St, Watertown, WI 53094-7629 | 2011-10-20 |
| 1205043320 | John Michael Bass | Counselor | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2415 | 2007-05-17 |
| 1336288091 | John Watson Bass | Physician Assistant | 2704 Medical Office Pl, Goldsboro, NC 27534-9460 | 2007-02-06 |
| 1083725188 | John Leslie Bass | Optometrist | 3000 S Hulen St, Ste 104, Fort Worth, TX 76109-1930 | 2006-08-31 |
| Street Address |
1010 MURRAY AVE TRAUMA & EMERGENCY SURGERY, SVRMC |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687354 | Paul J Wolfrom | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2006-02-08 |
| 1306498464 | Megan Christine Smith | Registered Nurse | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2019-07-09 |
| 1982102000 | Shilpa Patel | Pharmacist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2018-01-23 |
| 1326572116 | Christopher Walheim | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2017-04-18 |
| 1285088211 | Cindy Hsiang Su | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2016-04-15 |
| 1780046243 | Olga Grigorieva Olson | Hospitalist | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2016-03-24 |
| 1114393279 | Lisa Randolph | Nurse Practitioner | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-08-12 |
| 1568856474 | Kyle Richard Kelson | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-03-28 |
| 1154736734 | Sean Andrews | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-06-23 |
| 1801210026 | Justin Keadle | Physician Assistant | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108151 | Jennifer L Winters | Nurse Practitioner | 1011 Camino Del Rio S Ste 415, San Diego, CA 92108-3531 | 2020-06-11 |
| 1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
| 1629528278 | Angelynn Kitzerow | Nurse Practitioner | 1287b Arguello Blvd, San Francisco, CA 94122-2755 | 2016-10-06 |
| 1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
| 1508060237 | Oteria Randall Koayen | Nurse Practitioner | 1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3e, Pittsburg, CA 94565-7627 | 2007-06-14 |
| 1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
| 1114934346 | Nicole Danielle Carrillo | Nurse Practitioner | 623 Broderick St, San Francisco, CA 94117-1411 | 2006-08-01 |
| 1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on DR. JOHN LEE 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.