Mr David Mendiola Basco Iii, NURSE PRACTITIONER - Medicare Nurse Practitioner in Sacramento, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Sacramento
Mr David Mendiola Basco Iii, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Sacramento, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Active Life Wound Clinic A Professional Nursing Corporation and his current practice location is 3301 C St Ste 1500, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-7463.

Mr David Mendiola Basco Iii is licensed to practice in California (license number 95022230) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790413920.

Contact Information

Mr David Mendiola Basco Iii, NURSE PRACTITIONER
3301 C St Ste 1500,
Sacramento, CA 95816-3371
(916) 734-7463
(916) 734-6493

Map and Direction




Provider's Profile

Full NameMr David Mendiola Basco Iii
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location3301 C St Ste 1500, Sacramento, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr David Mendiola Basco Iii graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1790413920
  • Provider Enumeration Date: 08/15/2022
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587049697
  • Enrollment ID: I20220909001733

Medical Identifiers

Medical identifiers for Mr David Mendiola Basco Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790413920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F07221391 (California)Secondary
363LF0000XNurse Practitioner - Family 95022230 (California)Primary
163W00000XRegistered Nurse 802458 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Life Wound Clinic A Professional Nursing Corporation94364190177

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr David Mendiola Basco Iii allows following entities to bill medicare on his behalf.
Entity NameRegents of the Univ of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameMolina Healthcare of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348
Entity NameActive Life Wound Clinic a Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801253323
PECOS PAC ID: 9436419017
Enrollment ID: O20180130000241
Entity NameCentral Health Plan of California, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386714772
PECOS PAC ID: 7416395736
Enrollment ID: O20240405001559
Entity NameActive Life Wound Center a Professional Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396553616
PECOS PAC ID: 5991214918
Enrollment ID: O20250602002335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Mendiola Basco Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David Mendiola Basco Iii, NURSE PRACTITIONER
4800 Y Street, Suite 3740,
Sacramento, CA 95817

Ph: (916) 734-3658		Mr David Mendiola Basco Iii, NURSE PRACTITIONER
3301 C St Ste 1500,
Sacramento, CA 95816-3371

Ph: (916) 734-7463

Reviews and Comments


Nurse Practitioner Nurses in Sacramento, CA

Alexia Pratt Monahan, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2279 45th St, Sacramento, CA 95817
Phone: 916-734-5959    
Blanca E Avila, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Scripps Dr Ste 302, Sacramento, CA 95825
Phone: 714-472-7942    
Sumon Johnson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2570 48th St, Sacramento, CA 95817
Phone: 916-734-2145    
Elena Walterman, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817
Phone: 916-734-2387    
Sharon Kay Mccoy, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2025 Morse Ave, Sacramento, CA 95825
Phone: 916-973-6935    
Frances Eileen Briare, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823
Phone: 916-688-2000    
Ms. Patricia Lynne Kang, GNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823
Phone: 916-688-6862    Fax: 916-973-6682

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.