Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bassam Bader

Individual provider Internal Medicine Physician · NPI 1487072559

Bassam Bader is an Internal Medicine in Riverside, California. Qualified in 2006, 20 years ago. Practices with Providence Healthcare Partners Inc, a 26-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
20
Licensed in
CA, MI
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

3865 Jackson St
Riverside, CA 92503-3919
Phone: (714) 676-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A170093 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301104969 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 4301104969 (MI)

Record details

NPI number1487072559
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 4, 2014
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address12223 Highland Ave Ste 106-526, Rancho Cucamonga, CA 91739-2574

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Healthcare Partners Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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