Individual provider Active NPI

Karl David Bassler, M.D.

  • Dermatology Physician
  • Laguna Hills, CA
National Provider Identifier
1215938949
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A64015 Issued in CA
Practice address
23961 Magdalena
#520
Laguna Hills, CA 92653
Phone
(949) 855-3376
Fax
(949) 609-1971
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A64015 CA Primary
Dermatopathology Physician 207ND0900X A64015 CA
Procedural Dermatology Physician 207NS0135X A64015 CA

Addresses

Primary practice location

23961 Magdalena
#520
Laguna Hills, CA 92653

Mailing address

23961 Magdalena
#520
Laguna Hills, CA 92653
Phone (949) 855-3376

Other identifiers 4

IdentifierTypeStateIssuer
H17881OtherCAUPIN #
DD4828OtherCARAILROAD MEDICARE GROUP #
P00230697OtherCARAILROAD MEDICARE PIN #
A64015OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040204001055 CA Practitioner - Dermatology 4688567506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23961 Calle de la Magdalena
Suite 520
Laguna Hills, CA 92653-7622
Phone (949) 855-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions2087
Skin biopsy576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A64015CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karl D. Bassler, M.D, Inc Dermatology CurrentSince Mar 22, 2004 Accepting new patients
Michelle M. Algarin, M.D., Inc Dermatology CurrentSince Mar 22, 2004 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 520
Laguna Hills, CA 92653
Phone (949) 855-3376

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDBAA/Endpoint/CJDBAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215938949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 MAGDALENA",
            "address_2": "#520",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "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 MAGDALENA",
            "address_2": "#520",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-855-3376",
            "fax_number": "949-609-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSLER",
        "first_name": "KARL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A64015",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A64015",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_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 GROUP #",
            "identifier": "DD4828",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN #",
            "identifier": "P00230697",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A64015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.