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

Jack Elliott Basse, MD

Individual provider Emergency Medicine Physician · NPI 1083300669

Jack Elliott Basse, MD is an Emergency Medicine in Los Angeles, California. Graduated from Washington University School of Medicine in 2023, 3 years ago. Practices with County of Los Angeles, a 390-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
Washington University School of Medicine
Licensed in
CA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (310) 794-0785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1083300669 (CA)

Record details

NPI number1083300669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address757 Westwood Plz, Los Angeles, CA 90095-8358

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice County Of Los Angeles — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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