Active NPI
Karl D. Bassler, M.D, Inc
- Dermatology Physician
- Laguna Hills, CA
National Provider Identifier
1114198975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A64015
- Legal business name
- KARL D. BASSLER, M.D, INC
- Practice address
- 23961 Calle de la Magdalena
# 520
Laguna Hills, CA 92653-3616 - Phone
- (949) 855-3376
- Fax
- (949) 609-1971
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karl David Bassler, M.D.
- Title
- President
- Phone
- (949) 855-3376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A64015 | CA | Primary |
| Dermatopathology Physician | 207ND0900X | A64015 | CA | |
| Procedural Dermatology Physician | 207NS0135X | A64015 | CA |
Addresses
Primary practice location
23961 Calle de la Magdalena
# 520
Laguna Hills, CA 92653-3616
Mailing address
23961 Calle de la Magdalena
# 520
Laguna Hills, CA 92653-3616
Phone (949) 855-3376
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H17881 | Other | CA | UPIN # |
| P00230697 | Other | CA | RAILROAD MEDICARE PIN # |
| DD4828 | Other | CA | RAILROAD MEDICARE GROUP # |
| A64015 | Other | CA | STATE LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Laguna Hills, CA
- NPI 1215938949
-
- Dermatology Physician
- Laguna Hills, CA
- NPI 1609872126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1114198975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"address_2": "# 520",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-855-3376",
"fax_number": "949-609-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"address_2": "# 520",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-855-3376",
"fax_number": "949-609-1971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARL D. BASSLER, M.D, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BASSLER",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-855-3376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A64015",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "A64015",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A64015",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN #",
"identifier": "H17881",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN #",
"identifier": "P00230697",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DD4828",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "A64015",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.