Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225617657 Individual Practitioner Male Practitioner

Dr. Blake Bassett , DO

General Practice • Coronado, CA

Professional Overview & Biography Verified Profile Summary

Dr. Blake Bassett, DO is a registered healthcare professional specializing in General Practice in Coronado, CA. Practice services are available at NAVAL AIR STATION NORTH ISLAND under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Naval Air Station North Island
28-64 S R Ave

Coronado, CA 92118

Telephone 6195456210

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Coronado, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Coronado, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102207484

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID N/a
1

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Payton Cline , DO

Family Medicine

NPI 1013535392

Doctor of Osteopathic Medicine (D.O.)

Dr. Bailey Wickard , MD

General Practice

NPI 1043960289

Doctor of Medicine (M.D.)

Dr. Mark Nguyen , MD

Family Medicine

NPI 1356312375

Doctor of Medicine (M.D.)

Veronica Gomez

Physician Assistant

NPI 1528282290
NPI 1740599828

Doctor of Optometry

Dr. Daniel Chang , DO

Military Health Care Provider

NPI 1811691660

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 05, 2023

Registered at NAVAL AIR STATION NORTH ISLAND, 28-64 S R AVE, CORONADO, CA 92118 (Tel: 6195456210)

📍
Updated Business Mailing Address April 05, 2023

Registered at NAVAL AIR STATION NORTH ISLAND, 28-64 S R AVE, CORONADO, CA 73003 (Tel: 6195456210)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

General Practice (License #0102207484 in VA)

NPI Profile Active April 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

📍
Updated Business Mailing Address April 04, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

👤
Provider Name / Credentials Updated April 04, 2021

Recorded as BLAKE BASSETT, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225617657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2021
Last Update: April 14, 2023
Sole Proprietor: Yes

Mailing Address

Naval Air Station North Island, 28-64 S R Ave

Coronado, CA 73003

Phone: 6195456210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.