Tyler Basen MD Inc

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

Legal business name

TYLER BASEN MD INC

Practice address

26691 Plaza Ste 170
Mission Viejo, CA 92691-6396

Phone

(949) 755-6414

Fax

(339) 207-0457

NPI assigned

Jul 27, 2020

Last updated

Jul 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Basen, MDNPI 1184069692

Title

Allergist

Phone

(301) 922-5927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Tyler Basen, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Mission Viejo, CA
  • NPI 1184069692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1598374456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SANTA CRUZ AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926060813",
            "telephone_number": "301-922-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916396",
            "telephone_number": "949-755-6414",
            "fax_number": "339-207-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER BASEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "BASEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "ALLERGIST",
        "authorized_official_telephone_number": "301-922-5927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Loree Tucker, PHD
• Ashley Tupman
• Bret Everett Turecek
• Turning Point Treatment Center
• Turning Point Treatment Center, Inc
• Kathryn Tyler, PA-C
• Kristina Lynne Tyler, PHD
• Deanna Sese Tytus, LVN
• Brian Tzung, M.D.
• Chinyere Juliet Udonsi, O.D.

• Allergy & Immunology (Internal Medicine) Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.