MARY E BASSHAM
NPI 1861565012
Nurse Practitioner - Adult Health in Santa Ana, CA

Active since November 16, 2006
3130 S HARBOR BLVD, 250, SANTA ANA, CA 92704(714) 619-8777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary E Bassham NPPES

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

MARY E BASSHAM (NPI 1861565012) is an individual adult health provider in Santa Ana, California, licensed in California (12387) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1861565012
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY E BASSHAM
Location Address3130 S HARBOR BLVD, 250Santa Ana, CA 92704-6824
Mailing Address10827 Kane AveWhittier, CA 90604-1825 · (562) 944-3162
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861565012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 12387
3130 S HARBOR BLVD, Santa Ana, CA 92704

Other Providers at the Same Location NPPES 9

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

Registered Nurse
3130 S HARBOR BLVD, 250
SANTA ANA, CA 92704
Nurse Practitioner
3130 S HARBOR BLVD
SANTA ANA, CA 92704
Nurse Practitioner (Family)
3130 S HARBOR BLVD, STE 250
SANTA ANA, CA 92704
Preferred Provider Organization
3130 S HARBOR BLVD, STE 270
SANTA ANA, CA 92704
Physician Assistant
3130 S HARBOR BLVD, 250
SANTA ANA, CA 92704
Nurse Practitioner (Family)
3130 S HARBOR BLVD, SUITE 250
SANTA ANA, CA 92704
Nurse Practitioner
3130 S HARBOR BLVD, 250
SANTA ANA, CA 92704
Nurse Practitioner (Adult Health)
3130 S HARBOR BLVD, 250
SANTA ANA, CA 92704

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 Mary Bassham's NPI number?

The NPI number for Mary Bassham is 1861565012. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mary Bassham located?

Mary Bassham practices at 3130 S Harbor Blvd 250, Santa Ana, CA 92704. The listed phone number is (714) 619-8777.

What is Mary Bassham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Bassham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.