ATTIEA BASSAM FNP
NPI 1174388573
Nurse Practitioner - Primary Care in San Jose, CA

Active since February 15, 2024PECOS EnrolledAccepts Medicare Assignment
1569 LEXANN AVE STE 114, SAN JOSE, CA 95121(408) 564-6831 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Jul 27, 2024, Jul 12, 2024 (3 updates tracked since 2024).

About Attiea Bassam Fnp NPPES

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

ATTIEA BASSAM FNP (NPI 1174388573) is an individual primary care provider in San Jose, California, licensed in California (95027522) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174388573
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameATTIEA BASSAMCredential: FNP
Location Address1569 LEXANN AVE STE 114San Jose, CA 95121-1794
Mailing Address3400 Stevenson Blvd Apt J12Fremont, CA 94538-5812 · (925) 848-7318
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 15, 2024
Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
NPI 1174388573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95027522
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95027522 (CA)
1569 LEXANN AVE STE 114, San Jose, CA 95121

Secondary Practice Location 1

Location 14000 Dublin Blvd Ste 100Dublin, CA 94568-3122 · Phone (800) 943-8099

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

Attiea Bassam Fnp 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 ID6204369093
PECOS Enrollment IDI20241031004090
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 95121 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 3

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

Clinic/Center (Primary Care)
1569 LEXANN AVE STE 114
SAN JOSE, CA 95121
Internal Medicine
1569 LEXANN AVE STE 114
SAN JOSE, CA 95121
Internal Medicine
1569 LEXANN AVE STE 114
SAN JOSE, CA 95121

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 Attiea Bassam's NPI number?

The NPI number for Attiea Bassam is 1174388573. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Attiea Bassam located?

Attiea Bassam practices at 1569 Lexann Ave Ste 114, San Jose, CA 95121. The listed phone number is (408) 564-6831.

What is Attiea Bassam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Attiea Bassam enrolled in Medicare?

Yes. Attiea Bassam 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 Attiea Bassam was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.