Basso Podiatry Group, Inc | |
635 Anderson Rd Ste 19, Davis, CA 95616-3505 | |
(530) 758-1810 | |
Not Available |
Full Name | Basso Podiatry Group, Inc |
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Type | Facility |
Speciality | Podiatrist |
Location | 635 Anderson Rd Ste 19, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841851201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Provider Name | Tracy L Basso |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235135427 PECOS PAC ID: 3678479391 Enrollment ID: I20100908000713 |
Provider Name | Adel Aitali |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720518129 PECOS PAC ID: 4587995626 Enrollment ID: I20191003003160 |
Provider Name | Casey Lewis |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598259509 PECOS PAC ID: 4082010566 Enrollment ID: I20210908003419 |
Provider Name | Kurt E Fleschner |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851812168 PECOS PAC ID: 7315286903 Enrollment ID: I20220823001313 |
Provider Name | Roth B Ea |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1467984096 PECOS PAC ID: 6709157712 Enrollment ID: I20220930001749 |
Mailing Address | Practice Location Address |
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Basso Podiatry Group, Inc 635 Anderson Rd Ste 19, Davis, CA 95616-3505 Ph: (530) 758-1810 | Basso Podiatry Group, Inc 635 Anderson Rd Ste 19, Davis, CA 95616-3505 Ph: (530) 758-1810 |
Dr. Tracy Lee Basso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 635 Anderson Rd, Ste 19, Davis, CA 95616 Phone: 530-758-1810 Fax: 530-758-1896 | |
Roth Bun Ea, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 635 Anderson Rd Ste 19, Davis, CA 95616 Phone: 530-758-1810 Fax: 530-758-1896 | |
Dr. Christina Monique Garvin, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 635 Anderson Rd Ste 19, Davis, CA 95616 Phone: 530-758-1810 | |
Sacramento Foot And Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2925 Spafford St Ste A, Davis, CA 95618 Phone: 530-753-9080 | |
Dr. Daphne L. Huang, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2020 Fifth Street, Suite #1184, Davis, CA 95617 Phone: 530-683-5789 | |
Dr. Casey Lewis, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 635 Anderson Rd Ste 19, Davis, CA 95616 Phone: 530-758-1810 Fax: 530-758-1896 | |
Dr. Tracy C. Ferragamo, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2925 Spafford St, Suite A, Davis, CA 95618 Phone: 530-753-9080 Fax: 530-753-9085 |