Active NPI
Ahsan Baseer, PH.D., MT(ASCP), CLS
- Clinical Medical Laboratory
- Corona, CA
National Provider Identifier
1760641690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF4840
- Practice address
- 1888 W 6TH St
Suite H
Corona, CA 92882-2993 - Phone
- (951) 735-9190
- Fax
- (951) 340-2846
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF4840 | CA | Primary |
Addresses
Primary practice location
1888 W 6TH St
Suite H
Corona, CA 92882-2993
Mailing address
1888 W 6TH St
Suite H
Corona, CA 92882-2993
Phone (951) 735-9190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0543719 | Other | CA | CLIA |
| LAB54371G | Medicaid | CA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CLF4840 | CA | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Laboratories Inc | Clinical Medical Laboratory | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Glendale, CA
- NPI 1871372862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1760641690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1888 W 6TH ST",
"address_2": "SUITE H",
"city": "CORONA",
"state": "CA",
"postal_code": "928822993",
"telephone_number": "951-735-9190",
"fax_number": "951-340-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1888 W 6TH ST",
"address_2": "SUITE H",
"city": "CORONA",
"state": "CA",
"postal_code": "928822993",
"telephone_number": "951-735-9190",
"fax_number": "951-340-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASEER",
"first_name": "AHSAN",
"credential": "PH.D., MT(ASCP), CLS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF4840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0543719",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB54371G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.