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Contact Information

BASS MEDICAL GROUP
390 N WIGET LN STE 100
WALNUT CREEK, CA94598-2450
 Phone: 925-944-0110
 Fax: 925-944-0960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BASS MEDICAL GROUP · (Female)

NPI # 1043616600
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2014
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A42343
  • Other 7360010001 NSC MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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