# BASS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BASS MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477027050
- **Legal business name:** BASS MEDICAL GROUP
- **Authorized official:** RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (925) 932-6330

## Contact information

- **Practice address:** 2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
- **Practice address phone:** (408) 358-3555
- **Practice address fax:** (408) 358-3505
- **Mailing address:** 2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 03/12/2025