BASSO PODIATRY GROUP, INC
NPI 1841851201
Podiatrist in Davis, CA

Active since June 26, 2019
635 ANDERSON RD STE 19, DAVIS, CA 95616(530) 758-1810 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2026, May 17, 2023, Apr 28, 2021 (3 updates tracked since 2021).

About Basso Podiatry Group, Inc NPPES

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

BASSO PODIATRY GROUP, INC (NPI 1841851201) is a healthcare organization registered as a podiatrist in Davis, California and active in the NPI registry since June 2019. The organization maintains 6 additional practice locations and lists Bonnie Potter, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1841851201
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBASSO PODIATRY GROUP, INC
Location Address635 ANDERSON RD STE 19Davis, CA 95616-3505
Mailing Address635 Anderson Rd Ste 19Davis, CA 95616-3505 · (530) 758-1810
Organization SubpartNo
Authorized OfficialBonnie PotterCredentialing Manager · (916) 846-9454
Enumeration DateJune 26, 2019
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1841851201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
635 ANDERSON RD STE 19, Davis, CA 95616

Secondary Practice Locations 6

Location 1618 S Main StWillits, CA 95490-3912 · Phone (707) 459-2464
Location 2340 Taraval StSan Francisco, CA 94116-1953 · Phone (415) 681-2208 · Fax (415) 665-0200
Location 3500 University Ave Ste 120Sacramento, CA 95825-6524 · Phone (916) 922-3668 · Fax (916) 922-3636
Location 47601 Hospital Dr Ste 202Sacramento, CA 95823-5408 · Phone (916) 688-8008 · Fax (916) 688-8010
Location 51712 Picasso Ave Ste CDavis, CA 95618-0546 · Phone (530) 753-6280 · Fax (530) 753-6281
Location 62281 Cleveland AveSanta Rosa, CA 95403-2905 · Phone (707) 544-3337 · Fax (707) 544-0608

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basso Podiatry Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20200103002199DME · Physician - PodiatryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Basso Podiatry Group, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Podiatry
NPI 1235135427
635 ANDERSON RD STE 19
Davis, CA 95616
(530) 758-1810
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1467984096
635 ANDERSON RD STE 19
Davis, CA 95616
(530) 758-1810
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1851812168
635 ANDERSON RD STE 19
Davis, CA 95616
(530) 758-1810
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1598259509
635 ANDERSON RD STE 19
Davis, CA 95616
(530) 758-1810
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1720518129
1712 PICASSO AVE STE C
Davis, CA 95618
(530) 753-6280
✔ PECOS✔ Accepts Medicare1.9 mi
Podiatry
NPI 1013602010
2281 CLEVELAND AVE
Santa Rosa, CA 95403
(707) 544-3337
✔ PECOS53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Basso Podiatry Group, Inc's NPI number?

The NPI number for Basso Podiatry Group, Inc is 1841851201. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is Basso Podiatry Group, Inc located?

Basso Podiatry Group, Inc is located at 635 Anderson Rd Ste 19, Davis, CA 95616. The listed phone number is (530) 758-1810.

What is Basso Podiatry Group, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Basso Podiatry Group, Inc enrolled in Medicare?

Yes. Basso Podiatry Group, Inc is registered in the Medicare PECOS enrollment system.

When is Basso Podiatry Group, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Basso Podiatry Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Podiatry, reassign their Medicare billing to Basso Podiatry Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Basso Podiatry Group, Inc was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.