Provider Demographics
NPI:1184071870
Name:ATTUM, BASEM ABDULLA (MD)
Entity type:Individual
Prefix:
First Name:BASEM
Middle Name:ABDULLA
Last Name:ATTUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:860 OAK PARK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-1800
Mailing Address - Country:US
Mailing Address - Phone:805-481-3685
Mailing Address - Fax:866-250-2730
Practice Address - Street 1:5060 CALIFORNIA AVE STE 620
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7073
Practice Address - Country:US
Practice Address - Phone:661-520-5390
Practice Address - Fax:661-447-4280
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN53863207P00000X, 208D00000X
CAA157233207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA157233OtherLICENSE
CAA157233OtherLICENSE