DR. TRACY LEE BASSO (NPI# 1235135427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235135427 |
| Entity Type | Individual |
| Full Name | DR. TRACY LEE BASSO |
| Credential | DPM |
| Practice Address |
635 Anderson Rd Ste 19 Davis CA 95616-3505 |
| Practice Telephone | 5307581810 |
| Practice Fax Number | 5307581896 |
| Mailing Telephone | 5307581810 |
| Mailing Fax Number | 5307581896 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E36260 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E36260 | 05 |
| Street Address |
635 ANDERSON RD STE 19 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194258293 | Tyler Poland | Chiropractor | 635 Anderson Rd, Ste 14, Davis, CA 95616-3505 | 2017-04-05 |
| 1487010062 | Scott Vermeulen | Orthotist | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2016-01-12 |
| 1174909402 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2015-08-10 |
| 1891058962 | David Lee Tomkins | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2012-06-22 |
| 1922382316 | Hong Joon Lee | Acupuncturist | 635 Anderson Rd, Suite 12a, Davis, CA 95616-3505 | 2011-10-04 |
| 1013143718 | Crystal Blankenship | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2009-06-09 |
| 1932364163 | Laura H Applebaum | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2008-07-28 |
| 1750559928 | Sutter Health | Non-Pharmacy Dispensing Site | 635 Anderson Rd, 10, Davis, CA 95616-3505 | 2008-02-11 |
| 1194891747 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, #10, Davis, CA 95616-3505 | 2006-11-27 |
| 1063598167 | Benton James Runquist | Dentist | 635 Anderson Rd, Suite #6, Davis, CA 95616-3505 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598012395 | Daphne L. Huang | Podiatrist | 2020 Fifth Street, Suite #1184, Davis, CA 95617-7055 | 2012-08-10 |
| 1639126626 | Tracy C. Ferragamo | Podiatrist | 2925 Spafford St, Suite A, Davis, CA 95618-6808 | 2006-05-27 |
| 1750331666 | Scarlett Marion Kroencke | Podiatrist | 1712 Picasso Ave, Suite C, Davis, CA 95618-0546 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
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| 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.