Individual provider Active NPI

Michael Bask, MB(ASCP)CM, CLS

  • Medical Technologist
  • Los Angeles, CA
National Provider Identifier
1356965016
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
02013798 Issued in CA
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

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
02013798CAMDMedical 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.

Verify at the official NPI Registry.