Active NPI
Michael Klass, MD
- Dermatology Physician
- Half Moon Bay, CA
National Provider Identifier
1134578776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G17856
- Practice address
- 141 Turnberry Rd
Half Moon Bay, CA 94019-2272 - Phone
- (650) 726-6256
- NPI assigned
- Jun 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G17856 | CA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G17856 | CA |
Addresses
Primary practice location
141 Turnberry Rd
Half Moon Bay, CA 94019-2272
Mailing address
141 Turnberry Rd
Half Moon Bay, CA 94019-2272
Phone (650) 726-6256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17856 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464998400000",
"number": "1134578776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 TURNBERRY RD",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940192272",
"telephone_number": "650-726-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 TURNBERRY RD",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940192272",
"telephone_number": "650-726-6256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-04",
"last_updated": "2016-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G17856",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "G17856",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.