# BASS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093181646
- **Authorized official:** RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (925) 948-8154

## Contact information

- **Practice address:** 19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
- **Practice address phone:** (510) 886-8844
- **Practice address fax:** (510) 886-2936
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G061064 | CA | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 10/31/2024