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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK ELLIOTT BASSE MD
NPI 1083300669
Emergency Medicine in Los Angeles, CA

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 794-0785 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Elliott Basse Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ELLIOTT BASSE MD (NPI 1083300669) is an individual emergency medicine provider in Los Angeles, California, licensed in California (1083300669) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2023).

NPPES Registry Identity

NPI1083300669
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK ELLIOTT BASSECredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address757 Westwood PlzLos Angeles, CA 90095-8358 · (310) 794-0785
Phone(310) 794-0785
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2023
Enumeration DateApril 17, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1083300669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 1083300669
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
757 WESTWOOD PLZ, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Elliott Basse Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618481664
PECOS Enrollment IDI20251203003872
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Basse's NPI number?

The NPI number for Jack Basse is 1083300669. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Jack Basse located?

Jack Basse practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 794-0785.

What is Jack Basse's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jack Basse enrolled in Medicare?

Yes. Jack Basse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Basse was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.