Tyler Basen, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

A141359 Issued in CA

Practice address

26691 Plaza Ste 170
Mission Viejo, CA 92691-6396

Phone

(949) 755-6414

Fax

(339) 207-0457

NPI assigned

May 10, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Drexel University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: tyler.basen.p19@direct.monarchhealthcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tyler Basen MD Inc

  • Allergy & Immunology (Internal Medicine) Physician
  • Mission Viejo, CA
  • NPI 1598374456
  Medicare reassignment NPD Authorized official
• Oso Specialty Infusion, Inc.

  • Infusion Therapy Clinic/Center
  • Irvine, CA
  • NPI 1700305505
  Medicare reassignment NPD
• Oso Home Care, Inc.

  • Home Infusion Agency
  • Irvine, CA
  • NPI 1215966205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1184069692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916396",
            "telephone_number": "949-755-6414",
            "fax_number": "339-207-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916396",
            "telephone_number": "949-755-6414",
            "fax_number": "339-207-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASEN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A141359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB299568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Barrancos, LVN
• Joseph E Barrera, M.D.
• Lori Ann Bartczak, MS-SLP, CCC SPEECH L
• Ashley Nicole Bartell, NP
• William Robert Bartok, MD
• Shannon Bass, OTR/L
• Basti Dental Corporation
• Alireza Basti, D.D.S
• Tricia David Bato, D.D.S.
• Donna Bautista, D.D.S.

• Allergy & Immunology (Internal Medicine) Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.