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Dr. Blake Bassett , DO

General Practice β€’ Coronado, CA

Active NPI 1225617657 Individual Practitioner Male Practitioner
Practice location in NPPES

Naval Air Station North Island, 28-64 S R Ave
Coronado, CA 92118

Call 6195456210 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Naval Air Station North Island
28-64 S R Ave

Coronado, CA 92118

Telephone 6195456210

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coronado and California

5 active clinicians are listed under General Practice with a practice address in Coronado, CA (1,963 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102207484

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier N/a
1

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 05, 2023

Registered at NAVAL AIR STATION NORTH ISLAND, 28-64 S R AVE, CORONADO, CA 92118 (Tel: 6195456210)

πŸ“
Updated Business Mailing Address April 05, 2023

Registered at NAVAL AIR STATION NORTH ISLAND, 28-64 S R AVE, CORONADO, CA 73003 (Tel: 6195456210)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

General Practice (license number reported to NPPES: VA 0102207484)

βœ…
NPI Profile Active April 04, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 04, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

πŸ“
Business Mailing Address (Initial Record) April 04, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

πŸ‘€
Provider Name / Credentials (Initial Record) April 04, 2021

Recorded as BLAKE BASSETT, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 04, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225617657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2021
Last Update: April 14, 2023
Sole Proprietor: Yes

Mailing Address

Naval Air Station North Island, 28-64 S R Ave

Coronado, CA 73003

Phone: 6195456210

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.