Individual provider Active NPI

Karl J Gebhard, M.D.

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1548266018
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G80567 Issued in CA
Practice address
26922 Oso Pkwy
Suite 380
Mission Viejo, CA 92691-5800
Phone
(949) 305-0110
Fax
(949) 305-0101
NPI assigned
Jun 21, 2005
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G80567 CA Primary

Addresses

Primary practice location

26922 Oso Pkwy
Suite 380
Mission Viejo, CA 92691-5800

Mailing address

26922 Oso Pkwy
Suite 380
Mission Viejo, CA 92691-5800
Phone (949) 305-0110

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
I20090423000227 CA Practitioner - Family Practice 0840348272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26922 Oso Pkwy
Suite 380
Mission Viejo, CA 92691-5800
Phone (949) 305-0110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80567CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karl Gebhard MD a Professional Corporation Family Medicine CurrentSince Oct 11, 2017 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
F Awadalla MD PC PastSince Sep 1, 2019 Accepting new patients
Ross Medical Associates PastSince Jan 1, 2009 Accepting new patients
Ross Medical Associates San Juan Family Medicine PastSince Dec 1, 2009 Accepting new patients

Locations

26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691
Phone (949) 582-5430

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1548266018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26922 OSO PKWY",
            "address_2": "SUITE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915800",
            "telephone_number": "949-305-0110",
            "fax_number": "949-305-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26922 OSO PKWY",
            "address_2": "SUITE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915800",
            "telephone_number": "949-305-0110",
            "fax_number": "949-305-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARD",
        "first_name": "KARL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G80567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.