IndividualActive
Jordan Basham, M.D.
NPI 1871940981 · Surgical Critical Care Physician · Colton, CA
Provider details
- NPI number
- 1871940981
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A156671 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
400 N Pepper Ave
Colton, CA 92324-1801
Phone: (855) 422-8029
Approximate (ZIP-level) locationGet directions
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.