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

Q: What is Jordan Basham's NPI number?

The NPI number for Jordan Basham is 1871940981. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Jordan Basham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Basham was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: August 16, 2026.

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

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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

Phone(855) 422-8029

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

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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

Jordan Elisabeth Basham M.d. 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 ID7911239181

PECOS Enrollment IDI20191022000924

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.

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.

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