BASSO-WILLIAMS 11 BLADE OF CALIFORNIA, PC (NPI# 1497300628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497300628 |
| Entity Type | Organization |
| Organization Name | BASSO-WILLIAMS 11 BLADE OF CALIFORNIA, PC |
| Practice Address |
207 W Legion Rd Brawley CA 92227-7780 |
| Mailing Address |
5118 E Windstone Trl Cave Creek AZ 85331-2907 |
| Practice Telephone | 7603513333 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | DR. MICHAEL BASSO-WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 6238567553 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1316200967 | 05 |
| Street Address |
207 W LEGION RD |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-7780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519443 | Pioneers Memorial Healthcare District | General Acute Care Hospital | 207 W Legion Rd, Brawley, CA 92227-7780 | 2005-06-21 |
| 1174161251 | Richard Jacoby Md Inc | Internal Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-12-19 |
| 1558908368 | Joe Anthony Gonzales Jr. | Nurse Practitioner | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-11-30 |
| 1275177370 | Natalia Babkina Md Phd Inc | Obstetrics & Gynecology | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-10-31 |
| 1083272025 | Laurel Crismon Popplewell | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-06-04 |
| 1962977561 | Michael Bux | Specialist/Technologist | 207 W Legion Rd, Brawley, CA 92227-7780 | 2018-10-10 |
| 1316446644 | Imperial Valley Hospitalist Inc | Internal Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | 2018-02-01 |
| 1457870727 | Matthew Petro | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-09-18 |
| 1982122560 | Thomas Lee Whitehead Jr. | Nurse Practitioner | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-09-05 |
| 1356863997 | Trang Vo | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508905159 | Christopher C Lai | Orthopaedic Surgery | 196 W Legion Rd, Brawley, CA 92227-7713 | 2007-02-06 |
| 1326693540 | Barnes Orthopedic National Enterprises of California, PC | Orthopaedic Surgery | 751 W Legion Rd, Brawley, CA 92227-7732 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
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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.