| Bass Medical Group | |
|
108 La Casa Via Suite 100 Walnut Creek CA 94598-3013 | |
| (925) 930-9120 | |
| (925) 930-9122 |
| Full Name | Bass Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 108 La Casa Via, Walnut Creek, California |
| Authorized Official Name and Position | Rajiv Nagesetty (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9259326330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Medical Group 2637 Shadelands Dr Walnut Creek CA 94598-2512 Ph: (925) 948-8143 | Bass Medical Group 108 La Casa Via Suite 100 Walnut Creek CA 94598-3013 Ph: (925) 930-9120 |
| NPI Number | 1265971063 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 11/18/2024 |
| Medicare PECOS PAC ID | 9032111281 |
|---|---|
| Medicare Enrollment ID | O20170801001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265971063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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