Organization
BASS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV NAGESETTY MD (AUTHORIZED OFFICIAL)
(925) 948-8154
Entity
Organization
Contact information
Practice address
19842 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-4002
(510) 886-8844
(510) 886-2936
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G061064
CA
Other
Enumeration date
08/18/2015
Last updated
10/31/2024
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