Organization Active NPI

Erik Pasin MD Inc

  • Urology Physician
  • Laguna Hills, CA
National Provider Identifier
1437315439
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A87901 Issued in CA
Legal business name
ERIK PASIN MD INC
Practice address
24321 Avenida de la Carlota Ste H7
Laguna Hills, CA 92653-3681
Phone
(949) 768-6711
Fax
(949) 707-1061
NPI assigned
Jul 30, 2008
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Erik A Pasin, MDNPI 1134388325
Title
Owner
Phone
(949) 768-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A87901 CA Primary

Addresses

Primary practice location

24321 Avenida de la Carlota Ste H7
Laguna Hills, CA 92653-3681

Mailing address

24321 Avenida de la Carlota Ste H7
Laguna Hills, CA 92653-3681
Phone (949) 768-6711

Other practice location 1

26800 Crown Valley Pkwy
150
Mission Viejo, CA 92691-6384
Phone (949) 542-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081029000079 CA Part B Supplier - Clinic/Group Practice 3870651201 Receives reassigned benefits from 3 practitioners
Practice locations: Laguna Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2020786Erik Pasin, MD Inc24321 Avenida de la Carlota H-7, Laguna Hills, CA 92653Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

24321 Avenida de la Carlota
Ste H7
Laguna Hills, CA 92653
Phone (949) 768-6711

26800 Crown Valley Pkwy
Ste 150
Mission Viejo, CA 92691
Phone (949) 276-2111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1437315439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24321 AVENIDA DE LA CARLOTA STE H7",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533681",
            "telephone_number": "949-768-6711",
            "fax_number": "949-707-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24321 AVENIDA DE LA CARLOTA STE H7",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533681",
            "telephone_number": "949-768-6711",
            "fax_number": "949-707-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Pkwy",
            "address_2": "150",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916384",
            "country_code": "US",
            "telephone_number": "949-542-3950",
            "fax_number": "949-542-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIK PASIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "PASIN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-768-6711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A87901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.