JORDAN ELISABETH BASHAM M.D.
NPI 1871940981
Surgery - Surgical Critical Care in Colton, CA

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(855) 422-8029 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2025, Oct 1, 2021, May 18, 2016 (3 updates tracked since 2016).

About Jordan Elisabeth Basham M.d. NPPES

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

JORDAN ELISABETH BASHAM M.D. (NPI 1871940981) is an individual surgical critical care provider in Colton, California, licensed in California (A156671) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871940981
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameJORDAN ELISABETH BASHAMCredential: M.D.
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address400 N Pepper AveColton, CA 92324-1801 · (909) 747-0371
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateDecember 26, 20253 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
NPI 1871940981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in CA · A156671
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License A156671 (CA)
400 N PEPPER AVE, Colton, CA 92324

Medicare Participation & PECOS Enrollment Status

Jordan Basham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jordan Basham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911239181

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191022000924

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JORDAN ELISABETH BASHAM M.D.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
400 N PEPPER AVE, 3RD FLOOR
COLTON, CA 92324
Nurse Practitioner (Family)
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine (Pulmonary Disease)
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Emergency Medicine
400 N PEPPER AVE
COLTON, CA 92324
Physician Assistant
400 N PEPPER AVE
COLTON, CA 92324
Family Medicine
400 N PEPPER AVE
COLTON, CA 92324
Physician Assistant
400 N PEPPER AVE
COLTON, CA 92324
Emergency Medicine
400 N PEPPER AVE
COLTON, CA 92324
Emergency Medicine
400 N PEPPER AVE
COLTON, CA 92324
Physician Assistant
400 N PEPPER AVE
COLTON, CA 92324
Physician Assistant
400 N PEPPER AVE
COLTON, CA 92324
Emergency Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Family Medicine
400 N PEPPER AVE
COLTON, CA 92324
Internal Medicine
400 N PEPPER AVE
COLTON, CA 92324
Physician Assistant
400 N PEPPER AVE
COLTON, CA 92324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871940981, enumerated as an "individual" on May 18, 2016.

The provider is located at 400 N PEPPER AVE COLTON, CA 92324 and the phone number is (855) 422-8029.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.