Active NPI
Michael Bask, MB(ASCP)CM, CLS
- Medical Technologist
- Los Angeles, CA
National Provider Identifier
1356965016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 02013798
- Practice address
- 2250 Alcazar St Ste 109M
Los Angeles, CA 90089-1010 - Phone
- (323) 442-2196
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 02013798 | CA | Primary |
Addresses
Primary practice location
2250 Alcazar St Ste 109M
Los Angeles, CA 90089-1010
Mailing address
2250 Alcazar St Ste 109M
Los Angeles, CA 90089-1010
Phone (323) 442-2196
Other names 1
- Maikel Baskhayroun
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02013798 | CA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1356965016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST STE 109M",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891010",
"telephone_number": "323-442-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST STE 109M",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891010",
"telephone_number": "323-442-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASK",
"first_name": "MICHAEL",
"credential": "MB(ASCP)CM, CLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "02013798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAIKEL",
"last_name": "BASKHAYROUN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.