# BASS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1467329904
- **Authorized official:** INEZ WONDEH (COO)
- **Authorized official phone:** (925) 948-8154

## Contact information

- **Practice address:** 12677 ALCOSTA BLVD STE 180, SAN RAMON, CA 94583-4423
- **Practice address phone:** (925) 464-1982
- **Practice address fax:** (925) 464-2042
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
- **Mailing address phone:** (925) 627-3424
- **Mailing address fax:** (925) 627-3560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 10/20/2025