Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
(925) 932-6330
Entity
Organization
Contact information
Practice address
2324 SANTA RITA RD STE 6, PLEASANTON, CA 94566-4150
(925) 287-1256
(925) 287-0913
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
03/07/2016
Last updated
11/18/2024
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