Active NPI
Robert Edward McKasson Jr.
- Counselor
- Lake Forest, CA
National Provider Identifier
1427377647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 22471 Aspan St
Suite 103
Lake Forest, CA 92630-1642 - Phone
- (949) 458-2715
- NPI assigned
- May 27, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
22471 Aspan St
Suite 103
Lake Forest, CA 92630-1642
Mailing address
PO Box 130
San Juan Capistrano, CA 92693-0130
Phone (949) 458-2715
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1427377647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926930130",
"telephone_number": "949-458-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22471 ASPAN ST",
"address_2": "SUITE 103",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301642",
"telephone_number": "949-458-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKASSON",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.